Organization
FRESH START FAMILY SERVICES OF OREGON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DIANE SHEETS (EXECUTIVE DIRECTOR)
(503) 704-4579
Entity
Organization
Contact information
Practice address
8825 SE 42ND AVE, MILWAUKIE, OR 97222-5568
(503) 704-4579
(971) 245-3416
Mailing address
8825 SE 42ND AVE, MILWAUKIE, OR 97222-5568
(503) 704-4579
(971) 245-3416
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
0295
OR
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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