Oregon Family Support Network

NPI #1053971051 in Tigard, Oregon

Provider Information

NPI Number: 1053971051
Entity Type: Organization
Organization Name: Oregon Family Support Network
Primary Specialty: Community Health Worker
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 7110 SW FIR LOOP
City: Tigard
State: Oregon
ZIP Code: 97223-8084
Phone: (971) 209-5811

Authorized Official

Name: SHANNON BOYETTE
Title: TRI-COUNTY REGIONL MANAGER
Phone: (971) 209-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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