Oregon Recovery Behavioral Health | |
695 Se 1st Ave Canby OR 97013-3848 | |
(503) 304-4358 | |
(503) 304-4361 |
Full Name | Oregon Recovery Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 695 Se 1st Ave, Canby, Oregon |
Authorized Official Name and Position | Justin Scott Nielsen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5033044358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oregon Recovery Behavioral Health Po Box 20674 Keizer OR 97307-0674 Ph: (503) 304-4358 | Oregon Recovery Behavioral Health 695 Se 1st Ave Canby OR 97013-3848 Ph: (503) 304-4358 |
NPI Number | 1902566805 |
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Provider Enumeration Date | 12/20/2021 |
Last Update Date | 12/15/2023 |
Certification Date | 12/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902566805 | NPI | - | NPPES |
182192 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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