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OREGON 180 NPI 1083070361


NPI Information

NPI: 1083070361
Provider Name: OREGON 180
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
725 W 14TH ST
MEDFORD, OR
ZIP 97501
Phone: (541) 621-3053
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OREGON 180 is a residential treatment facility emotionally disturbed children in Medford, OR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. OREGON 180 NPI is 1083070361. The provider is registered as an organization entity type.

The provider's business location address is:

725 W 14TH ST
MEDFORD, OR
ZIP 97501-429
Phone: (541) 621-3053

The provider's authorized official is Karen Barnard .
The authorized official title is Program Manager and has the following contact phone number (541) 621-3053.

The enumeration date for this NPI number is 1/3/2016 and was last updated on 1/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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