Provider Demographics
NPI:1922354703
Name:OREGON HOUSING AND ASSOCIATED SERVICES, INC.
Entity Type:Organization
Organization Name:OREGON HOUSING AND ASSOCIATED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PRANTL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-585-6193
Mailing Address - Street 1:2582 19TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-1501
Mailing Address - Country:US
Mailing Address - Phone:503-585-6193
Mailing Address - Fax:503-585-6198
Practice Address - Street 1:2582 19TH ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-1501
Practice Address - Country:US
Practice Address - Phone:503-585-6193
Practice Address - Fax:503-585-6198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation