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1265676605
KAISER PERMANENTE
CLACKAMAS, OR
NPI
1265676605
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Entity Type
Organization
Authorized Contact
JOHNNY DEAN GONZALES
Milieu Counselor
503-571-0858
Organization Subpart ?
No
Primary Taxonomy
284300000X Special Hospital
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
KAISER PERMANENTE
10180 SE SUNNYSIDE AVE 1ST FLOOR, WING A BROOKSIDE CENTER RESIDENTIAL TREATMENT
CLACKAMAS, OR 97015-9303
Phone number: 503-571-0858
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Mailing Address
KAISER PERMANENTE
PO BOX 1366
OREGON CITY, OR 97045-0097
Phone number: 503-571-0858
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BROOKSIDE CENTER