Iron Tribe Network

NPI #1639577398 in Gladstone, Oregon

Provider Information

NPI Number
1639577398
Entity Type
Organization
Organization Name
Iron Tribe Network
Subpart
Yes (part of a larger organization)
Parent Organization
A DAILY REPRIEVE CENTER INC.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 11, 2014
Last Updated
Dec 11, 2014

Practice Location

Address
17763 SE 82ND DR STE D
State
Oregon
ZIP Code
97027-1822
Phone
(503) 344-6710

Authorized Official

Name
MR. HAROLD REICHERT CUBBEDGE, CCEO
Title
AUTHORIZED AGENT
Phone
(503) 754-3495

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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