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Susan D Fordice
Mental Illness Community Based Residential Treatment Facility in Pendleton, Oregon
NPI 1487081394

Susan D Fordice is a Mental Illness Community Based Residential Treatment Facility based in Pendleton, OR. Susan D Fordice practices in Pendleton, OR. The NPI Number for Susan D Fordice is 1487081394 and holds a License No. (Oregon).

The current practice location address for Susan D Fordice is 2013 Sw Olson Ave, Pendleton, OR and can be reached out via phone at 541-240-1446.

Location: 2013 Sw Olson Ave, Pendleton, OR, 97801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487081394
Provider Name
Susan D Fordice
Credential
Provider Entity Type
Individual
Gender
Female
Address
2013 Sw Olson Ave, Pendleton, OR, 97801
Phone Number
541-240-1446
Fax Number
Provider Enumeration Date
10/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2013 Sw Olson Ave
City
Pendleton
State
Oregon
Zip
97801-4421
Phone Number
541-240-1446
Fax Number
person
Provider Business Mailing Address Details
Address
2013 Sw Olson Ave
City
Pendleton
State
Oregon
Zip
97801-4421
Phone Number
541-240-1446
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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