STULTS HOUSE NPI 1780043802

NPI Information

STULTS HOUSE is a residential treatment facility, intellectual and/or developmental disabilities in Portland, OR. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. STULTS HOUSE NPI is 1780043802. The provider is registered as an organization entity type.

The provider's business location address is:

805 SE 151ST AVE
PORTLAND, OR
ZIP 97233-916
Phone: (971) 271-7270

The provider's authorized official is Amy Lugo .
The authorized official title is Hr Coordinator and has the following contact phone number (503) 666-6575.

The CLIA number assigned to this NPI record is 38D2094896 - other - counsellor with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 2/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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