Provider Demographics
NPI:1013732213
Name:OREGON COMMUNITY FOOD SYSTEM NETWORK
Entity type:Organization
Organization Name:OREGON COMMUNITY FOOD SYSTEM NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF NETWORK DEV
Authorized Official - Prefix:
Authorized Official - First Name:SHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-773-9156
Mailing Address - Street 1:PO BOX 82402
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97282-0402
Mailing Address - Country:US
Mailing Address - Phone:503-773-9156
Mailing Address - Fax:
Practice Address - Street 1:7900 NE 33RD DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-1918
Practice Address - Country:US
Practice Address - Phone:503-773-9156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable