Provider Demographics
NPI:1619160181
Name:FAMILY SKILLBUILDERS, INC.
Entity Type:Organization
Organization Name:FAMILY SKILLBUILDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-515-1293
Mailing Address - Street 1:PO BOX 80524
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97280-1524
Mailing Address - Country:US
Mailing Address - Phone:503-515-1293
Mailing Address - Fax:503-245-2294
Practice Address - Street 1:8325 SW 61ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-3109
Practice Address - Country:US
Practice Address - Phone:503-515-1293
Practice Address - Fax:503-245-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty