Whalio Doctors

NPI 1003248642

Janus Youth Programs, INC.

Organisation Voluntary or Charitable Agency Portland, OR

Practice location

Address
707 NE Couch St, Portland, OR 97232-2922
Phone
(503) 542-4608
Fax
(503) 233-6093

Authorised official

Name
Dennis Lee Morrow
Title
Executive Director
Phone
(503) 542-4608

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 0177 (OR)

Registry record

NPI
1003248642
Entity type
Organization
NPI issued
6 Aug 2013
Record last updated
6 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.