| NPI | 1073767588 |
|---|---|
| Doing Business As | CHILD DEVELOPMENT & REHABILITATION CENTER IN PORTLAND |
| Entity Type | Organization |
| Authorized Contact | THOMAS HECKLER Associate Dean 503-494-4481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OR 141008) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2012-03-06 |