NPI 1023243508

Sistere INC.

Organisation Mental Illness Community Based Residential Treatment Facility Gresham, OR

Practice location

Address: 1610 W Powell Blvd, Gresham, OR 97030-6843
Phone: (503) 665-5193
Fax: (503) 665-8454
Mailing address: PO Box 582, Gresham, OR 97030-0137

Authorised official

Name: Shannan Mays
Title: Administrater
Phone: (503) 665-5193

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 320800000X (OR)

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1023243508
Entity type: Organization
NPI issued: 27 May 2009
Record last updated: 18 Feb 2010

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.