Provider Demographics
NPI:1891246070
Name:LINES FOR LIFE
Entity Type:Organization
Organization Name:LINES FOR LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CRISIS LINES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZWETCHKENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-244-4622
Mailing Address - Street 1:5100 SW MACADAM AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-6102
Mailing Address - Country:US
Mailing Address - Phone:503-244-5211
Mailing Address - Fax:503-244-5506
Practice Address - Street 1:5100 SW MACADAM AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-6102
Practice Address - Country:US
Practice Address - Phone:503-244-5211
Practice Address - Fax:503-244-5506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-22
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health