Provider Demographics
NPI:1952789687
Name:BOYS & GIRLS AID
Entity Type:Organization
Organization Name:BOYS & GIRLS AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:TINSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-542-2762
Mailing Address - Street 1:018 SW BOUNDARY CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3939
Mailing Address - Country:US
Mailing Address - Phone:503-542-2762
Mailing Address - Fax:503-208-7160
Practice Address - Street 1:018 SW BOUNDARY CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3939
Practice Address - Country:US
Practice Address - Phone:503-542-2762
Practice Address - Fax:503-208-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare