Provider Demographics
NPI:1023867355
Name:ACCORDING TO HIS WORD OUTREACH
Entity type:Organization
Organization Name:ACCORDING TO HIS WORD OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MINNIEWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-516-9147
Mailing Address - Street 1:4835 NE 107TH AVE STE 41
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-2507
Mailing Address - Country:US
Mailing Address - Phone:503-516-9147
Mailing Address - Fax:
Practice Address - Street 1:4835 NE 107TH AVE STE 41
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-2507
Practice Address - Country:US
Practice Address - Phone:503-516-9147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management