Oregon Directions, Llc | |
1705 Centennial Blvd Ste 2 Springfield OR 97477-3320 | |
(541) 818-0009 | |
(541) 780-6967 |
Full Name | Oregon Directions, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1705 Centennial Blvd Ste 2, Springfield, Oregon |
Authorized Official Name and Position | James P. Hyland (MANAGING MEMBER) |
Authorized Official Contact | 5418180009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oregon Directions, Llc 3488 River Heights Dr Springfield OR 97477-6703 Ph: (541) 818-0009 | Oregon Directions, Llc 1705 Centennial Blvd Ste 2 Springfield OR 97477-3320 Ph: (541) 818-0009 |
NPI Number | 1104578350 |
---|---|
Provider Enumeration Date | 01/19/2022 |
Last Update Date | 01/19/2022 |
Certification Date | 08/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104578350 | NPI | - | NPPES |
500798164 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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