Organization Name: | BOYS & GIRLS AID |
NPI Number: | 1952789687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE TINSMAN (HR BUSINESS PARTNER) |
Mailing Address: | 018 Sw Boundary Ct Portland |
State: | OR US |
Postal Code: | 972393939 |
Phone Number: | 5035422762 |
Fax Number: | 5032087160 |
NPI Enumeration Date: | 05/14/2015 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |