Siloam International Inc | |
732 Sw 3rd Ave Suite 615 Portland OR 97204-2416 | |
(503) 381-5881 | |
(503) 283-1898 |
Full Name | Siloam International Inc |
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Speciality | Community/behavioral Health |
Location | 732 Sw 3rd Ave, Portland, Oregon |
Authorized Official Name and Position | David A. Jones (EX. DIR.) |
Authorized Official Contact | 5033815881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Siloam International Inc 732 Sw 3rd Ave Suite 615 Portland OR 97204-2416 Ph: (503) 381-5881 | Siloam International Inc 732 Sw 3rd Ave Suite 615 Portland OR 97204-2416 Ph: (503) 381-5881 |
NPI Number | 1104018522 |
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Provider Enumeration Date | 08/10/2007 |
Last Update Date | 08/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104018522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Oregon) | Primary |
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