Healthcare Provider Details

I. General information

NPI: 1205961901
Provider Name (Legal Business Name): WASHINGTON COUNTY HEALTH & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N 1ST AVE MSC 4
HILLSBORO OR
97124-3001
US

IV. Provider business mailing address

155 N 1ST AVE MSC 4
HILLSBORO OR
97124-3001
US

V. Phone/Fax

Practice location:
  • Phone: 503-846-4733
  • Fax: 503-846-8207
Mailing address:
  • Phone: 503-846-4733
  • Fax: 503-846-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DORA E VASQUEZ
Title or Position: SENIOR ADMINISTRATIVE SPECIALIST
Credential:
Phone: 503-846-4733