Provider Demographics
NPI:1073942645
Name:SAFE JOURNEYS, LLC
Entity Type:Organization
Organization Name:SAFE JOURNEYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SAFE JOURNEYS
Authorized Official - Prefix:
Authorized Official - First Name:NAIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CADC-II
Authorized Official - Phone:503-989-0991
Mailing Address - Street 1:5975 SW SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3502
Mailing Address - Country:US
Mailing Address - Phone:503-989-0991
Mailing Address - Fax:
Practice Address - Street 1:18801 SW MARTINAZZI AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-6896
Practice Address - Country:US
Practice Address - Phone:503-989-0991
Practice Address - Fax:503-692-9461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR07-03-43261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health