| NPI | 1033753231 |
|---|---|
| Doing Business As | FIFTH CORNER COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROXANNE FRANKLIN WILSON President/Program Administrator 503-714-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 133NN1002X Nutritionist Nutrition, Education | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 1744R1102X Specialist Research Study | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-03-28 |