Cheryl Runyan

NPI #1205399656 in Portland, Oregon

Provider Information

NPI Number: 1205399656
Entity Type: Individual
Name: Cheryl Runyan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 12, 2019
Last Updated: Apr 12, 2019

Practice Location

Address: 3415 SE POWELL BLVD
City: Portland
State: Oregon
ZIP Code: 97202-3371
Phone: (503) 234-9591

Specialties & Taxonomy Codes

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

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