New Avenues For Youth | |
2595 Christie Dr. Lake Oswego OR 97034 | |
(503) 517-3973 | |
(503) 517-3199 |
Full Name | New Avenues For Youth |
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Speciality | Case Manager/care Coordinator |
Location | 2595 Christie Dr., Lake Oswego, Oregon |
Authorized Official Name and Position | Sean Suib (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5035173921 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Avenues For Youth 1220 Sw Columbia Street Portland OR 97201 Ph: (503) 224-4339 | New Avenues For Youth 2595 Christie Dr. Lake Oswego OR 97034 Ph: (503) 517-3973 |
NPI Number | 1740844539 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 01/13/2020 |
Certification Date | 01/13/2020 |
Identifier | Type | State | Issuer |
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1740844539 | NPI | - | NPPES |
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