Coffee Creek Correction Facility

  • 1619397767 NPI Number
  • |
  • Actived: 10 years ago
  • |
Coffee Creek Correction Facility is a health care provider based in Portland, OR. The NPI Number is 1619397767 and it has been active since 10 years ago. The specialty is Multi-Specialty, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Multi-Specialty services, Coffee Creek Correction Facility is an excellent option. We are here to help you get the care you need.

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Overview of Coffee Creek Correction Facility

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/16/2014
  • Last updated: 04/16/2014

Primary Scrop of Practice

  • Taxonomy Code: 261QM1300X
  • Specialty: Multi-Specialty
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 847 Ne 19th Ave
    Suite 100
    Portland, OR 97232
  • Phone: 503-238-0769
  • Fax: 503-963-7711

Provider Practice Location

  • Address: 847 Ne 19th Ave
    Suite 100
    Portland, OR 97232
  • Phone: 503-238-0769
  • Fax: 503-963-7711

Authorized Official

  • Name: DR. Derald Walker PHD
  • Position/Title: President / Ceo
  • Telephone Number: 503-238-0769

Scope of Practice

  • Taxonomy Code: 261QM1300X
  • Specialty: Multi-Specialty
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Coffee Creek Correction Facility?
  • A: The npi number for Coffee Creek Correction Facility is 1619397767.
  • Q: What are Coffee Creek Correction Facility's specialties?
  • A: Coffee Creek Correction Facility's specialties are Multi-Specialty and different specialities.
  • Q: Where is Coffee Creek Correction Facility business practice location?
  • A: Coffee Creek Correction Facility business practice location is 847 Ne 19th Ave, Portland, OR 97232.
  • Q: How to contact Coffee Creek Correction Facility?
  • A: You can contact Coffee Creek Correction Facility via 503-238-0769.
  • Q: What is the authorized official for Coffee Creek Correction Facility?
  • A: The authorized office name is DR. Derald Walker PHD with position/title is President / Ceo and you can reach the authorized official via phone number 5032380769.
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