NPI 1053631747

Multnomah County

Organisation Case Management Agency Portland, OR

Practice location

Address: 619 NW 6th Ave, Portland, OR 97209-3964
Phone: (503) 988-3666
Fax: (503) 988-3015
Mailing address: 619 NW 6th Ave STE 500, Portland, OR 97209-3964

Authorised official

Name: Derrick Moten
Title: Interim Business Services Director
Phone: (503) 988-2966

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Oregon →

State or Local Public Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP0905X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1053631747
Entity type: Organization
NPI issued: 4 Jun 2010
Record last updated: 18 May 2024

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.