Organization · Type 2 NPI
Clackamas Service Center
Public Health or Welfare Agency · Portland, OR
NPI number
1821356536
Active
Practice location
8800 SE 80th Ave
Portland, OR 97206-9270
Fax (503) 771-8606
Mailing address
PO Box 2620
Clackamas, OR 97015-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | LD-D-10148063 (OR) |
Public Health or Welfare Agency: Definition to come...
Another provider at this address
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About NPI 1821356536
Clackamas Service Center's National Provider Identifier is 1821356536, issued on May 1, 2012. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Portland, OR. The record was last updated on May 1, 2012.