| Ruby Ridge Ranch, Llc | |
|
1126 E Jones Creek Rd Grants Pass OR 97526-3714 | |
| (541) 291-3945 | |
| Not Available |
| Full Name | Ruby Ridge Ranch, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1126 E Jones Creek Rd, Grants Pass, Oregon |
| Authorized Official Name and Position | Kimberly Ibarra (CO-FOUNDER) |
| Authorized Official Contact | 5412913945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Ridge Ranch, Llc 1126 E Jones Creek Rd Grants Pass OR 97526-3714 Ph: (541) 291-3945 | Ruby Ridge Ranch, Llc 1126 E Jones Creek Rd Grants Pass OR 97526-3714 Ph: (541) 291-3945 |
| NPI Number | 1891545406 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891545406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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