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2720 Ne Flanders St Portland OR 97232-3160 | |
(503) 238-5203 | |
(503) 238-5202 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2720 Ne Flanders St, Portland, Oregon |
Authorized Official Name and Position | David Eisen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5032385203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2901 E Burnside St Portland OR 97214-1831 Ph: (503) 238-5203 | 2720 Ne Flanders St Portland OR 97232-3160 Ph: (503) 238-5203 |
NPI Number | 1437682473 |
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Provider Enumeration Date | 04/06/2017 |
Last Update Date | 04/19/2017 |
Identifier | Type | State | Issuer |
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1437682473 | NPI | - | NPPES |
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