| NPI | 1437227535 |
|---|---|
| Other Name | PORTLAND OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SUZY VENZKE Billing Manager 503-205-4362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-04-17 |