| Options For Southern Oregon | |
|
611 Siskiyou Blvd Ste 8 Ashland OR 97520-2151 | |
| (541) 476-2373 | |
| Not Available |
| Full Name | Options For Southern Oregon |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 611 Siskiyou Blvd Ste 8, Ashland, Oregon |
| Authorized Official Name and Position | Dessi D Perez (CREDENTIALING) |
| Authorized Official Contact | 5412444109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Options For Southern Oregon 1215 Sw G St Grants Pass OR 97526-2544 Ph: (541) 476-2373 | Options For Southern Oregon 611 Siskiyou Blvd Ste 8 Ashland OR 97520-2151 Ph: (541) 476-2373 |
| NPI Number | 1780327445 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780327445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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