Play Connections Autism Services, LLC

NPI #1821360611 in Beaverton, Oregon

Provider Information

NPI Number: 1821360611
Entity Type: Organization
Organization Name: Play Connections Autism Services, LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 15100 SW KOLL PKWY
Address 2: SUITE A
City: Beaverton
State: Oregon
ZIP Code: 97006-6026
Phone: (503) 737-4693

Authorized Official

Name: MELANIE SHAW, M.A., B.C.B.A.
Title: OWNER/DIRECTOR
Phone: (503) 737-4693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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