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2507 Christie Dr Marylhurst OR 97036 | |
(503) 635-3416 | |
(503) 697-6932 |
Full Name | |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 2507 Christie Dr, Marylhurst, Oregon |
Authorized Official Name and Position | Deibele Theresa (FINANCE AND ADMINISTRATION DIRECTOR) |
Authorized Official Contact | 5036752228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 368 Marylhurst OR 97036-0368 Ph: (503) 635-3416 | 2507 Christie Dr Marylhurst OR 97036 Ph: (503) 635-3416 |
NPI Number | 1881637809 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 04/09/2009 |
Identifier | Type | State | Issuer |
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1881637809 | NPI | - | NPPES |