Healthcare Provider Details

I. General information

NPI: 1720942592
Provider Name (Legal Business Name): APPA HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

686 FLORENCE AVE
OAKLAND CA
94618-2740
US

IV. Provider business mailing address

686 FLORENCE AVE
OAKLAND CA
94618-2740
US

V. Phone/Fax

Practice location:
  • Phone: 503-317-1381
  • Fax:
Mailing address:
  • Phone: 503-317-1381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT MILLER
Title or Position: CEO
Credential: JD
Phone: 503-317-1381