NPI 1063744175
Choices Domestic Violence Intervention Program, LLC
Practice location
- Address
- 9828 E Burnside St STE 210, Portland, OR 97216-2364
- Phone
- (503) 293-7597
- Fax
- (503) 232-4446
Authorised official
- Name
- Christine A. Crowe
- Title
- Director
- Phone
- (503) 239-7597
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1063744175
- Entity type
- Organization
- NPI issued
- 1 Feb 2010
- Record last updated
- 1 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.