Sistere Inc.

NPI #1023243508 in Gresham, Oregon

Provider Information

NPI Number: 1023243508
Entity Type: Organization
Organization Name: Sistere Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 27, 2009
Last Updated: Feb 18, 2010

Practice Location

Address: 1610 W POWELL BLVD
City: Gresham
State: Oregon
ZIP Code: 97030-6843
Phone: (503) 665-5193

Authorized Official

Name: MS. SHANNAN MAYS
Title: ADMINISTRATER
Phone: (503) 665-5193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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