St Mary'S Home For Boys

LBN: St Mary'S Home For Boys
St Mary'S Home For Boys is an health care organization with primary practice located at 16535 Sw Tualatin Valley Hwy , Beaverton OR 97006-5143. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. St Mary'S Home For Boys can be contacted via phone (503) 649-5651, or through Cole, Michael via phone (503) 259-3201.

Contact Information

Primary practice address
16535 Sw Tualatin Valley Hwy Beaverton OR 97006-5143
Phone: (503) 649-5651
Fax: (503) 649-7405
Website:
Map and Directions
Authorized official contact:
Name: Cole, Michael
Phone: (503) 259-3201

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 891 Oregon
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 891 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 891 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 891 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 891 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0433 Oregon
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 17887 Oregon
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X Oregon
Hospitals / Psychiatric Hospital 283Q00000X 17887 Oregon
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Oregon

Profile Details

NPI number 1619057098
LBN Legal business name St Mary'S Home For Boys
DBA Doing business as
Authorized official Cole, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated May 7th, 2013 - about 11 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 1619057098 NPPES
Oregon MEDICAID 210855

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