NPI 1013698497
Multnomah County
Practice location
- Address
- 209 SW 4th Ave STE 520, Portland, OR 97204-1825
- Phone
- (503) 988-8291
- Mailing address
- 619 NW 6th Ave, Portland, OR 97209-3964
Authorised official
- Name
- Alicia Thompson Rodriguez
- Title
- Access Manager/Program Specialist
- Phone
- (503) 597-9405
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013698497
- Entity type
- Organization
- NPI issued
- 27 Jul 2023
- Record last updated
- 28 Jul 2023
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.