| Youth Contact, Inc | |
|
447 Se Baseline St Hillsboro OR 97123-4103 | |
| (503) 640-4222 | |
| (503) 640-0334 |
| Full Name | Youth Contact, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 447 Se Baseline St, Hillsboro, Oregon |
| Authorized Official Name and Position | Judy R Harris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036404222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Contact, Inc 447 Se Baseline St Hillsboro OR 97123-4103 Ph: (503) 640-4222 | Youth Contact, Inc 447 Se Baseline St Hillsboro OR 97123-4103 Ph: (503) 640-4222 |
| NPI Number | 1124113527 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124113527 | NPI | - | NPPES |
| 046198 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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