CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE
Psychiatric at River Pkwy, Portland, OR

License number
Oregon MD165076
Category
Psychiatric
Type
Psychiatry
Owner
Name: MS. DENISE J FOLSTON
Title: BILLING SPECIALIST
Phone: (541) 620-8170
Address
Address 2
3570 SW River Pkwy, Portland, OR 97239
12655 SW Center St STE 150, Beaverton, OR 97005
National Provider ID: 1649712571
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE at bizstanding.com

CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE, LLC

11389 NW Pumpkin Ct, Portland, OR 97229

Registration:
Sep 11, 2014
State ID:
104641295
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Gilbert Simas,11389 NW Pumpkin Ct, Portland, OR 97229 (Physical)

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