| Victory Academy | |
|
27960 Sw Canyon Creek Rd N Wilsonville OR 97070-6717 | |
| (503) 427-2063 | |
| Not Available |
| Full Name | Victory Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27960 Sw Canyon Creek Rd N, Wilsonville, Oregon |
| Authorized Official Name and Position | Thea Schreiber (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5034272063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Academy Po Box 428 Tualatin OR 97062-0428 Ph: (503) 427-2063 | Victory Academy 27960 Sw Canyon Creek Rd N Wilsonville OR 97070-6717 Ph: (503) 427-2063 |
| NPI Number | 1518345842 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518345842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ABA-B-10167306 (Oregon) | Primary |
| 251S00000X | Community/behavioral Health | ABA-B-10168878 (Oregon) | Secondary |
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