Provider Demographics
NPI:1811064447
Name:ALTERNATIVE SERVICES OREOGN, INC
Entity type:Organization
Organization Name:ALTERNATIVE SERVICES OREOGN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ALLEN-SLEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-977-2262
Mailing Address - Street 1:11830 KERR PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-1249
Mailing Address - Country:US
Mailing Address - Phone:503-977-2262
Mailing Address - Fax:503-977-2301
Practice Address - Street 1:11830 KERR PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-1249
Practice Address - Country:US
Practice Address - Phone:503-977-2262
Practice Address - Fax:503-977-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8203320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR8203OtherLICENSE