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PORTLAND, OR
NPI1326410986
Entity TypeOrganization
Authorized ContactKATELYN BESSETTE
Director Of Treatment Services
503-858-7073
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2015-10-22
Last Update Date2019-06-19
Business Address
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7916 SE FOSTER RD STE 201
PORTLAND, OR 97206-4289
Phone number: 503-465-2749
Mailing Address
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PO BOX 16576
PORTLAND, OR 97292-0576
Phone number: