Karaleekiserlcswpc | |
5331 Sw Macadam Ave Suite 318 Portland OR 97239-6104 | |
(503) 228-4124 | |
Not Available |
Full Name | Karaleekiserlcswpc |
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Speciality | Community/behavioral Health |
Location | 5331 Sw Macadam Ave, Portland, Oregon |
Authorized Official Name and Position | Karalee Kiser (PRESIDENT) |
Authorized Official Contact | 5032284124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Karaleekiserlcswpc 5331 Sw Macadam Ave Suite 318 Portland OR 97239 Ph: (503) 228-4124 | Karaleekiserlcswpc 5331 Sw Macadam Ave Suite 318 Portland OR 97239-6104 Ph: (503) 228-4124 |
NPI Number | 1396923751 |
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Provider Enumeration Date | 02/07/2008 |
Last Update Date | 02/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396923751 | NPI | - | NPPES |
133352 | Other | OR | MEDICARE LEGACY NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 557 (Oregon) | Primary |
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