person
Florence Mutie
Mental Illness Community Based Residential Treatment Facility in Portland, Oregon
NPI 1821491853

Florence Mutie is a Mental Illness Community Based Residential Treatment Facility based in Portland, OR. Florence Mutie practices in Portland, OR. The NPI Number for Florence Mutie is 1821491853 and holds a License No. (Oregon).

The current practice location address for Florence Mutie is 5123 Sw 62Nd Ave, Portland, OR and can be reached out via phone at 503-453-2290.

Location: 5123 Sw 62Nd Ave, Portland, OR, 97221-1170
person
Provider Profile Details
NPI Number
1821491853
Provider Name
Florence Mutie
Credential
Provider Entity Type
Individual
Gender
Female
Address
5123 Sw 62Nd Ave, Portland, OR, 97221-1170
Phone Number
503-453-2290
Fax Number
Provider Enumeration Date
10/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5123 Sw 62Nd Ave
City
State
Zip
97221-1170
Phone Number
503-453-2290
Fax Number
person
Provider Business Mailing Address Details
Address
5123 Sw 62Nd Ave
City
State
Zip
97221-1170
Phone Number
503-453-2290
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
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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