MODUS VIVENDI LLC
Agencies at Pine St, Portland, OR

License number
Oregon CERIFICATE OF APPROV
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MRS. OLGA V PARKER PHD
Title: PROGRAM DIRECTOR
Phone: (503) 781-9065
Address
Address
18428 SE Pine St STE 105, Portland, OR 97233
National Provider ID: 1932436037
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MODUS VIVENDI LLC at bizstanding.com

MODUS VIVENDI LLC

Gladstone, OR  -  Portland, OR

Registration:
Aug 16, 2004
Addresses:
45 SE 82 Dr STE 55, Gladstone, OR 97027 (Physical)
PO Box 33792, Portland, OR 97292 (Mailing)
State ID:
23635493
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Olga Parker,45 SE 82 Dr STE 55, Gladstone, OR 97027 (Physical)

Modus Vivendi LLC

18428 SE Pne St, Portland, OR 97233

Status:
Inactive
Industry:
Specialty Outpatient Clinic, Nonclassifiable Establishments, Specialty Outpatient Clinics, Nec
Phone:
(503) 665-0160 (Phone)
Program Director:
Olga V. Parker (Program Director)
Categories:
Abuse Information & Treatment

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