Provider Demographics
NPI:1659499531
Name:WASHINGTON COUNTY HEALTH & HUMAN SERVICES
Entity Type:Organization
Organization Name:WASHINGTON COUNTY HEALTH & HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR ADMINISTRATIVE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-846-4733
Mailing Address - Street 1:155 N 1ST AVE # MS 4
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-3001
Mailing Address - Country:US
Mailing Address - Phone:503-486-4733
Mailing Address - Fax:503-846-8207
Practice Address - Street 1:155 N 1ST AVE # MS 4
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-3001
Practice Address - Country:US
Practice Address - Phone:503-846-4733
Practice Address - Fax:503-846-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR096578Medicaid