Provider Demographics
NPI:1033434725
Name:CLACKAMAS COUNTY CHILDREN'S COMMISSION
Entity Type:Organization
Organization Name:CLACKAMAS COUNTY CHILDREN'S COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH & NUTRITION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-675-4565
Mailing Address - Street 1:17600 PACIFIC HWY
Mailing Address - Street 2:PO BOX 6
Mailing Address - City:MARYLHURST
Mailing Address - State:OR
Mailing Address - Zip Code:97036-7036
Mailing Address - Country:US
Mailing Address - Phone:504-675-4565
Mailing Address - Fax:503-675-3551
Practice Address - Street 1:17600 PACIFIC HWY # 43
Practice Address - Street 2:DAVIGNON HALL
Practice Address - City:MARYLHURST
Practice Address - State:OR
Practice Address - Zip Code:97036-7036
Practice Address - Country:US
Practice Address - Phone:504-675-4565
Practice Address - Fax:503-675-3551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management