NPI: 1669856571
Provider Name: PORTLAND IOP, LLC
Doing Business As: KLEAN GRESHAM
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
748 SE 181ST AVE
PORTLAND, OR
ZIP 97233
Phone: (503) 825-7046
Get Directions
PORTLAND IOP, LLC is a rehabilitation and substance use disorder clinic center in Portland, OR. PORTLAND IOP, LLC NPI is 1669856571. The provider is registered as an organization entity type.
The provider Is Doing Business As Klean Gresham.
The provider's business location address is:
748 SE 181ST AVE
PORTLAND, OR
ZIP 97233-945
Phone: (503) 825-7046
The provider's authorized official is Alixaundrea Corrin Poli .
The authorized official title is Office Manager and has the following contact phone number (360) 969-4787.
The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.