Organization · Type 2 NPI

Columbia River Correctional Institution

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1811316953 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Call (503) 238-0769 Map

Fax (503) 963-7711

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1811316953

Columbia River Correctional Institution's National Provider Identifier is 1811316953, issued on Apr 15, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on Apr 15, 2014.