| NPI | 1811198021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LLOYD Billing And Revenue Assurance Mngr 503-234-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 089003377RN) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |