| Outlook Residential | |
|
3252 Se Olsen St Milwaukie OR 97222-5733 | |
| (425) 524-2492 | |
| Not Available |
| Full Name | Outlook Residential |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3252 Se Olsen St, Milwaukie, Oregon |
| Authorized Official Name and Position | Fayisa Bonkiye (DIRECTOR) |
| Authorized Official Contact | 4254797609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outlook Residential 3252 Se Olsen St Milwaukie OR 97222-5733 Ph: (425) 479-7609 | Outlook Residential 3252 Se Olsen St Milwaukie OR 97222-5733 Ph: (425) 524-2492 |
| NPI Number | 1225900277 |
|---|---|
| Provider Enumeration Date | 09/19/2025 |
| Last Update Date | 09/19/2025 |
| Certification Date | 09/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225900277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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