Provider Demographics
NPI:1770063067
Name:NAMI MULTNOMAH
Entity type:Organization
Organization Name:NAMI MULTNOMAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MELDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-501-2361
Mailing Address - Street 1:524 NE 52ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3047
Mailing Address - Country:US
Mailing Address - Phone:503-501-2361
Mailing Address - Fax:
Practice Address - Street 1:524 NE 52ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-3047
Practice Address - Country:US
Practice Address - Phone:503-501-2361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health