| Klamath Basin Behavior Health | |
|
2210 N Eldorado Ave Klamath Falls OR 97601-6418 | |
| (541) 883-1030 | |
| Not Available |
| Full Name | Klamath Basin Behavior Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2210 N Eldorado Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Karena Kay Mendoza (RESIDENT CARE AID) |
| Authorized Official Contact | 5418924655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klamath Basin Behavior Health 13907 Ravenwood Dr Klamath Falls OR 97601-9591 Ph: (541) 892-4655 | Klamath Basin Behavior Health 2210 N Eldorado Ave Klamath Falls OR 97601-6418 Ph: (541) 883-1030 |
| NPI Number | 1861863409 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861863409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 93-0753926 (Oregon) | Primary |
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