NPI 1174072086

Childrens Behavioral Health

Organisation Health Maintenance Organization Woodburn, OR

Practice location

Address: 976 N Pacific Hwy, Woodburn, OR 97071-3731
Phone: (503) 981-5851
Mailing address: 16688 Highway 99e NE Unit 53, Woodburn, OR 97071-9186

Authorised official

Name: Phillip Blea
Title: Team Supervisor
Phone: (503) 588-5352

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1174072086
Entity type: Organization
NPI issued: 3 Oct 2016
Record last updated: 3 Oct 2016

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.