Provider Demographics
NPI:1942955182
Name:WASHINGTON COUNTY OREGON
Entity Type:Organization
Organization Name:WASHINGTON COUNTY OREGON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARNI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-846-3141
Mailing Address - Street 1:155 N. FIRST AVENUE
Mailing Address - Street 2:MS 23A
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-3001
Mailing Address - Country:US
Mailing Address - Phone:503-846-5300
Mailing Address - Fax:503-846-8661
Practice Address - Street 1:155 N. FIRST AVENUE
Practice Address - Street 2:SUITE 170
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-3001
Practice Address - Country:US
Practice Address - Phone:503-846-5300
Practice Address - Fax:503-846-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR043039Medicaid