Changepoint, INC
Clinic/Center, Rehabilitation, Substance Use Disorder in Beaverton, OR. Organization (NPI-2).
NPI number1851835722
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1851835722
- Entity type
- Organization (NPI-2)
- Legal business name
- Changepoint, INC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 15-03-12 | OR | Yes |
Practice location
1700 Nw 167th PlaceSuite 240
Beaverton, OR 97006
Phone 503-350-2758 · Fax 503-350-1790
Mailing address
1700 Nw PlaceSuite 240
Beaverton, OR 97006
Phone 503-350-2758 · Fax 503-350-1790
Authorized official
Juan Hernandez Perez
Substance Use Disorder Counselor
5033528261
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