| Springfield Treatment Center | |
|
1485 Market St Springfield OR 97477-3337 | |
| (541) 653-8284 | |
| Not Available |
| Full Name | Springfield Treatment Center |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1485 Market St, Springfield, Oregon |
| Authorized Official Name and Position | Matthew Owen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5416538284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Treatment Center 1485 Market St Springfield OR 97477-3337 Ph: (541) 653-8284 | Springfield Treatment Center 1485 Market St Springfield OR 97477-3337 Ph: (541) 653-8284 |
| NPI Number | 1710498001 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710498001 | NPI | - | NPPES |
| 38D2134656 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RO0507650 (Oregon) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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