NPI 1053624387

Impact NW

Organisation Case Management Agency Portland, OR

Practice location

Address: 7211 SE 62nd Ave, Portland, OR 97206
Phone: (503) 721-6776
Fax: (971) 254-8969
Mailing address: PO Box 33530, Portland, OR 97292-3530

Authorised official

Name: Amanda Lee Adams
Title: Ltk Project Coordinator
Phone: (541) 227-8888

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Oregon →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Oregon →

Registry record

NPI: 1053624387
Entity type: Organization
NPI issued: 15 Jul 2010
Record last updated: 17 Aug 2017

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.