| Recovery Works Nw Llc | |
|
173 Ne 102nd Ave Portland OR 97220-4169 | |
| (503) 906-9995 | |
| (503) 597-7000 |
| Full Name | Recovery Works Nw Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 173 Ne 102nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Tami Mcbride (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5039069995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Works Nw Llc 12540 Sw Main St Ste 202 Tigard OR 97223-6198 Ph: (503) 906-9995 | Recovery Works Nw Llc 173 Ne 102nd Ave Portland OR 97220-4169 Ph: (503) 906-9995 |
| NPI Number | 1871264416 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871264416 | NPI | - | NPPES |
| 500694901 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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