Provider Demographics
NPI:1427416452
Name:CLACKAMAS WOMEN'S SERVICES
Entity Type:Organization
Organization Name:CLACKAMAS WOMEN'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ERLBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-655-8600
Mailing Address - Street 1:256 WARNER MILNE RD
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-4014
Mailing Address - Country:US
Mailing Address - Phone:503-655-8600
Mailing Address - Fax:
Practice Address - Street 1:256 WARNER MILNE RD
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-4014
Practice Address - Country:US
Practice Address - Phone:503-655-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health