Organization
NEW VISION PROGRAMS OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE KARAM (EXECUTIVE DIRECTOR)
(503) 704-9478
Entity
Organization
Contact information
Practice address
11576 SE 27TH AVE, MILWAUKIE, OR 97222-7719
(503) 704-9478
(503) 855-3440
Mailing address
16172 NW KEVIN CT, BEAVERTON, OR 97006-7287
(503) 704-9478
(503) 855-3440
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0118
OR
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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