| Columbiacare Services | |
|
3587 Heathrow Way Suite #1 Medford OR 97504-4004 | |
| (541) 858-8170 | |
| (541) 858-8167 |
| Full Name | Columbiacare Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3587 Heathrow Way, Medford, Oregon |
| Authorized Official Name and Position | Mike David Sewitsky (FINANCE MANAGER) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiacare Services 3587 Heathrow Way Medford OR 97504-4004 Ph: (541) 858-8170 | Columbiacare Services 3587 Heathrow Way Suite #1 Medford OR 97504-4004 Ph: (541) 858-8170 |
| NPI Number | 1992245625 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992245625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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