NPI 1043503006

Luke-Dorf, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Gresham, OR

Practice location

Address: 360 SW 6th St, Gresham, OR 97080-9475
Phone: (503) 726-3806
Mailing address: 10313 SW 69th Ave, Tigard, OR 97223-9103

Authorised official

Name: Megan Weigel
Title: Hr
Phone: (503) 830-0822

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1043503006
Entity type: Organization
NPI issued: 25 May 2011
Record last updated: 25 May 2011

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.