| Parry Center For Children | |
|
3415 Se Powell Boulevard Portland OR 97202 | |
| (503) 205-4362 | |
| (503) 205-0193 |
| Full Name | Parry Center For Children |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 3415 Se Powell Boulevard, Portland, Oregon |
| Authorized Official Name and Position | Suzy K. Venzke (BILLING MANAGER) |
| Authorized Official Contact | 5032054362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parry Center For Children 3415 Se Powell Boulevard Portland OR 97202 Ph: (503) 205-4362 | Parry Center For Children 3415 Se Powell Boulevard Portland OR 97202 Ph: (503) 205-4362 |
| NPI Number | 1093873382 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873382 | NPI | - | NPPES |
| 312008 | Medicaid | OR |
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