Brookside Center

NPI #1316203508 in Clackamas, Oregon

Provider Information

NPI Number
1316203508
Entity Type
Organization
Organization Name
Brookside Center
Primary Specialty
Special Hospital
Enumeration Date
Apr 2, 2012
Last Updated
Jun 1, 2021

Practice Location

Address
10180 SE SUNNYSIDE RD
Address 2
1ST FLOOR, WING A
State
Oregon
ZIP Code
97015-8970
Phone
(503) 571-0884

Authorized Official

Name
JOHNNY DEAN GONZALES, BS
Title
MILIUE COUNSELOR
Phone
(503) 571-0884

Specialties & Taxonomy Codes

Specialty
Special Hospital

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