Autism Outreach of Oregon

Organization Active NPI Behavior Analyst · Portland, OR

NPI 1235643602 · NPPES record last updated Jun 16, 2020

Key facts

NPI
1235643602
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
AUTISM OUTREACH OF OREGON
Practice address
10350 N Vancouver Way #1043
Portland, OR 97217
Phone
(619) 795-9925
NPI assigned
Nov 21, 2017
Organization subpart
No

Authorized official

Name
Zohal Alemi
Title
Operations Manager
Phone
(619) 795-9925

National Provider Directory

Locations

3110 Camino del Rio S
Ste 307
San Diego, CA 92108
Phone (619) 302-0832

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP
103K00000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

10350 N Vancouver Way #1043
Portland, OR 97217

Mailing address

8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669
Phone (619) 795-9925

Other providers in Portland, OR

All providers in Portland, OR · Behavior Analyst in Oregon

Sources for this page

Verify at the official NPI Registry.