Provider Demographics
NPI:1164711933
Name:CAPS
Entity Type:Organization
Organization Name:CAPS
Other - Org Name:NEW SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:WRAPAROUND FACILITATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:POS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:503-576-4568
Mailing Address - Street 1:1653 ELK CIR SW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-3734
Mailing Address - Country:US
Mailing Address - Phone:503-576-4568
Mailing Address - Fax:503-364-6552
Practice Address - Street 1:2421 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1220
Practice Address - Country:US
Practice Address - Phone:503-576-4568
Practice Address - Fax:503-361-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA5022302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization