Organization · Type 2 NPI
Dept. of Human Srvcs/office of Fin. Srvcs Dba: Irs/eopc/eotc/osh/osh-P
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Pendleton, OR
Practice location
2525 Westgate
Pendleton, OR 97801-9613
Fax (541) 276-1147
Mailing address
PO Box 14900
Salem, OR 97309-5016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 6021 (OR) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2 other providers at this address
About NPI 1720023807
Dept. of Human Srvcs/office of Fin. Srvcs Dba: Irs/eopc/eotc/osh/osh-P's National Provider Identifier is 1720023807, issued on Jun 20, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Pendleton, OR. The record was last updated on Sep 21, 2007.