| Nara Nw-residential Treatment Center | |
|
17645 Nw Saint Helens Rd Portland OR 97231-1729 | |
| (503) 621-1069 | |
| (503) 621-0200 |
| Full Name | Nara Nw-residential Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 17645 Nw Saint Helens Rd, Portland, Oregon |
| Authorized Official Name and Position | Sarah Ayers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5033679089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nara Nw-residential Treatment Center 1776 Sw Madison St Portland OR 97205 Ph: (503) 224-1044 | Nara Nw-residential Treatment Center 17645 Nw Saint Helens Rd Portland OR 97231-1729 Ph: (503) 621-1069 |
| NPI Number | 1023007093 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 2668361585 |
|---|---|
| Medicare Enrollment ID | O20101020001236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023007093 | NPI | - | NPPES |
| 126370 | Medicaid | OR |
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