| Poyama Day Treatment | |
|
460 Greenwood Rd S Independence OR 97351-9653 | |
| (503) 838-6431 | |
| (503) 838-6440 |
| Full Name | Poyama Day Treatment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 460 Greenwood Rd S, Independence, Oregon |
| Authorized Official Name and Position | Hope Shaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5038386431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poyama Day Treatment 460 Greenwood Rd S Independence OR 97351-9653 Ph: (503) 838-6431 | Poyama Day Treatment 460 Greenwood Rd S Independence OR 97351-9653 Ph: (503) 838-6431 |
| NPI Number | 1760540975 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760540975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 099030-14 (Oregon) | Primary |
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