MEDICARE: CENTER FOR CONTINUOUS IMPROVEMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	694263-2	OR

General Provider Information

NPI Number	:	1972724375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR CONTINUOUS IMPROVEMENT

Provider Business Mailing Address
First Line	:	900 MAIN ST
Second Line	:	SUITE 200
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1834
Country	:	US
Telephone Number	:	503-594-1250
Fax Number	:	503-594-1259

Provider Business Practice Location Address
First Line	:	900 MAIN ST
Second Line	:	SUITE 200
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1834
Country	:	US
Telephone Number	:	503-594-1250
Fax Number	:	503-594-1259

Authorized Official
Title or Position	:	DIRECTOR, OIS
Name	:	MR. KELLEY MICHAEL GORDHAM
Credential	:
Telephone Number	:	503-594-1250

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2020

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Directions to “CENTER FOR CONTINUOUS IMPROVEMENT ” Practice Location

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