Kartini Intensive Outpatient Program

LBN: Kartini Intensive Outpatient Program
Kartini Intensive Outpatient Program is an health care organization with primary practice located at 2800 N. Vancouver Ave Suite 118, Portland OR 97227-1634. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Kartini Intensive Outpatient Program can be contacted via phone (503) 249-8851, or through Nemirow, Steve via phone (503) 249-8851.

Contact Information

Primary practice address
2800 N. Vancouver Ave Suite 118 Portland OR 97227-1634
Fax: (503) 282-3409
Website:
Authorized official contact:
Name: Nemirow, Steve ESQ.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NON-NUMBERED CERTIFI Oregon

Profile Details

NPI number 1073699013
LBN Legal business name Kartini Intensive Outpatient Program
DBA Doing business as
Authorized official Nemirow, Steve ESQ.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073699013 NPPES
Oregon Other 26624890 DOMESTIC LLC
Oregon Other NON-NUMBERED CERTIFI DOMESTIC LLC

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