| Youth Unlimited Inc. | |
|
11012 Se Stark St Unit M Portland OR 97216-3388 | |
| (503) 890-0440 | |
| Not Available |
| Full Name | Youth Unlimited Inc. |
|---|---|
| Speciality | Foster Care Agency |
| Location | 11012 Se Stark St Unit M, Portland, Oregon |
| Authorized Official Name and Position | April Renee Johnson (OWNER/CEO) |
| Authorized Official Contact | 5038900440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Unlimited Inc. Po Box 828 Troutdale OR 97060-1086 Ph: (503) 890-0440 | Youth Unlimited Inc. 11012 Se Stark St Unit M Portland OR 97216-3388 Ph: (503) 890-0440 |
| NPI Number | 1992228498 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992228498 | NPI | - | NPPES |
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