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Sylvia Susanne Sorn
Mental Illness Community Based Residential Treatment Facility in Gladstone, Oregon
NPI 1528462801

Sylvia Susanne Sorn is a Mental Illness Community Based Residential Treatment Facility based in Gladstone, OR. Sylvia Susanne Sorn practices in Gladstone, OR. The NPI Number for Sylvia Susanne Sorn is 1528462801 and holds a License No. 519100 (Oregon).

The current practice location address for Sylvia Susanne Sorn is 17420 Crownview Dr, Gladstone, OR and can be reached out via phone at 503-656-1204.

Location: 17420 Crownview Dr, Gladstone, OR, 97027-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528462801
Provider Name
Sylvia Susanne Sorn
Credential
Provider Entity Type
Individual
Gender
Female
Address
17420 Crownview Dr, Gladstone, OR, 97027-1107
Phone Number
503-656-1204
Fax Number
Provider Enumeration Date
10/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
519100 05 OR
institution
Provider Business Practice Location Address Details
Address
17420 Crownview Dr
City
Gladstone
State
Oregon
Zip
97027-1107
Phone Number
503-656-1204
Fax Number
person
Provider Business Mailing Address Details
Address
17420 Crownview Dr
City
Gladstone
State
Oregon
Zip
97027-1107
Phone Number
503-656-1204
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.
519100 (Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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