| Coastal Intensive Services | |
|
3880 Se 8th Ave Portland OR 97202-3772 | |
| (503) 789-6850 | |
| Not Available |
| Full Name | Coastal Intensive Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3880 Se 8th Ave, Portland, Oregon |
| Authorized Official Name and Position | Sarah Von Colditz (OWNER) |
| Authorized Official Contact | 5037896850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Intensive Services 5 N Highway 101 Warrenton OR 97146-9313 Ph: () - | Coastal Intensive Services 3880 Se 8th Ave Portland OR 97202-3772 Ph: (503) 789-6850 |
| NPI Number | 1689412850 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689412850 | NPI | - | NPPES |
| 1104224393 | Medicaid | OR | |
| 1770810723 | Other | OTHER |
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