| NPI | 1740941533 |
|---|---|
| Other Name | COLUMBIA GORGE DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SUZY VENZKE Sr. Manager Of Billing Services 503-205-4362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |