institution
Coffee Creek Correction Facility
Multi-Specialty Clinic/Center in Portland, Oregon
NPI 1619397767

Coffee Creek Correction Facility is a Multi-Specialty Clinic/Center based in Portland, OR and is specialized in Multi-Specialty. Coffee Creek Correction Facility practices in Portland, OR. The NPI Number for Coffee Creek Correction Facility is 1619397767 and holds a License No. (Oregon).

The current practice location address for Coffee Creek Correction Facility is 847 Ne 19Th Ave, Portland, OR and can be reached out via phone at 503-238-0769 and via fax at 503-963-7711.

Location: 847 Ne 19Th Ave, Portland, OR, 97232-2684
institution
Provider Profile Details
NPI Number
1619397767
Provider Name
Coffee Creek Correction Facility
Credential
Provider Entity Type
Organization
Address
847 Ne 19Th Ave, Portland, OR, 97232-2684
Phone Number
503-238-0769
Fax Number
503-963-7711
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
503-963-7711
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
503-963-7711
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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