| Youth Villages | |
|
2507 Christie Dr. Lake Oswego OR 97034 | |
| (503) 635-3416 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2507 Christie Dr., Lake Oswego, Oregon |
| Authorized Official Name and Position | Jordain Boland (REGIONAL SUPERVISOR) |
| Authorized Official Contact | 5036752266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages Po Box 368 Marylhurst OR 97036-0368 Ph: () - | Youth Villages 2507 Christie Dr. Lake Oswego OR 97034 Ph: (503) 635-3416 |
| NPI Number | 1740729490 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740729490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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