| Addictions Northwest, Llc | |
|
1141 Ne Division St Gresham OR 97030-5726 | |
| (503) 328-6973 | |
| (503) 912-1225 |
| Full Name | Addictions Northwest, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1141 Ne Division St, Gresham, Oregon |
| Authorized Official Name and Position | Gary H Patterson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5038362228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addictions Northwest, Llc 1141 Ne Division St Gresham OR 97030-5726 Ph: (503) 328-6973 | Addictions Northwest, Llc 1141 Ne Division St Gresham OR 97030-5726 Ph: (503) 328-6973 |
| NPI Number | 1013259225 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013259225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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