HAWTHORNE HEALING CENTER LLC NPI 1851903629

NPI Information

NPI: 1851903629
Provider Name: HAWTHORNE HEALING CENTER LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
21 HAWTHORNE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 350-0571
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HAWTHORNE HEALING CENTER LLC is a professional counselor in Medford, OR. HAWTHORNE HEALING CENTER LLC NPI is 1851903629. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 HAWTHORNE ST
MEDFORD, OR
ZIP 97504-113
Phone: (541) 350-0571

The provider's authorized official is Richard P Cummings .
The authorized official title is Sole Member and has the following contact phone number (541) 350-0571.

The enumeration date for this NPI number is 8/21/2020 and was last updated on 8/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

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: 11/14/2023

NPI Synchronization or Removal

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