| Corrections | |
|
1215 Se Court Ave Roseburg OR 97470-4329 | |
| (541) 672-1761 | |
| (541) 673-5642 |
| Full Name | Corrections |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1215 Se Court Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Bruce Piper (CEO) |
| Authorized Official Contact | 5416722691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corrections Po Box 1121 Roseburg OR 97470-0254 Ph: (541) 672-1761 | Corrections 1215 Se Court Ave Roseburg OR 97470-4329 Ph: (541) 672-1761 |
| NPI Number | 1508295668 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508295668 | NPI | - | NPPES |
| 218156 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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