Provider Demographics
NPI:1922405638
Name:CAREASSIST
Entity Type:Organization
Organization Name:CAREASSIST
Other - Org Name:OREGON AIDS DRUG ASSISTANCE PROGRAM (ADAP)
Other - Org Type:Other Name
Authorized Official - Title/Position:CAREASSIST MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-673-0176
Mailing Address - Street 1:800 NE OREGON ST
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232
Mailing Address - Country:US
Mailing Address - Phone:971-673-0144
Mailing Address - Fax:971-673-0177
Practice Address - Street 1:800 NE OREGON ST
Practice Address - Street 2:SUITE 1105
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232
Practice Address - Country:US
Practice Address - Phone:971-673-0144
Practice Address - Fax:971-673-0177
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OREGON HEALTH AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare