| Caring Hands Residential Services Llc | |
|
16220 Se Mckinley Ave Clackamas OR 97015-9418 | |
| (612) 226-1094 | |
| (503) 908-0103 |
| Full Name | Caring Hands Residential Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 16220 Se Mckinley Ave, Clackamas, Oregon |
| Authorized Official Name and Position | Chaltu Legesse Bakuto (DIRECTOR) |
| Authorized Official Contact | 6122261094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Hands Residential Services Llc 2256 Se Park Ave Milwaukie OR 97222-7999 Ph: (612) 226-1094 | Caring Hands Residential Services Llc 16220 Se Mckinley Ave Clackamas OR 97015-9418 Ph: (612) 226-1094 |
| NPI Number | 1366065872 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366065872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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