Provider Demographics
NPI:1093955767
Name:CHILDREN, ADULTS AND FAMILIES - CHILD WELFARE
Entity Type:Organization
Organization Name:CHILDREN, ADULTS AND FAMILIES - CHILD WELFARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FEDERAL COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-945-6679
Mailing Address - Street 1:500 SUMMER ST NE # E-69
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1063
Mailing Address - Country:US
Mailing Address - Phone:503-945-6679
Mailing Address - Fax:503-581-6198
Practice Address - Street 1:500 SUMMER ST NE # E-69
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1063
Practice Address - Country:US
Practice Address - Phone:503-945-6679
Practice Address - Fax:503-581-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency