Klean Gresham

LBN: Portland Iop, Llc
Klean Gresham is an health care organization with primary practice located at 748 Se 181St Ave , Portland OR 97233-4945. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Portland Iop, Llc can be contacted via phone (503) 825-7046, or through Poli, Alixaundrea Corrin via phone (360) 969-4787.

Contact Information

Primary practice address
748 Se 181St Ave Portland OR 97233-4945
Phone: (503) 825-7046
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poli, Alixaundrea Corrin
Phone: (360) 969-4787

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1669856571
LBN Legal business name Portland Iop, Llc
DBA Doing business as Klean Gresham
Authorized official Poli, Alixaundrea Corrin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 2015 - about 10 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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