NPI 1306288071

The Inn, Home for Boys

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Portland, OR

Practice location

Address: 8940 SE 72nd Ave, Portland, OR 97206-9417
Phone: (503) 777-6317
Mailing address: 5605 E Burnside St, Portland, OR 97215-1499

Authorised official

Name: Thomas J Mitchell
Title: Executive Director
Phone: (503) 234-8757

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1306288071
Entity type: Organization
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

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.