Wise Caring Pc | |
1016 Court St Medford OR 97501-5728 | |
(541) 274-0758 | |
Not Available |
Full Name | Wise Caring Pc |
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Speciality | Community/behavioral Health |
Location | 1016 Court St, Medford, Oregon |
Authorized Official Name and Position | Judith Ann Voruz (ADDICTIONS COUNSELOR) |
Authorized Official Contact | 5412740758 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wise Caring Pc 321 Clay St #106 Ashland OR 97520-1338 Ph: (541) 274-0758 | Wise Caring Pc 1016 Court St Medford OR 97501-5728 Ph: (541) 274-0758 |
NPI Number | 1285080960 |
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Provider Enumeration Date | 05/11/2016 |
Last Update Date | 05/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285080960 | NPI | - | NPPES |
1598935827 | Other | OR | INDIVIDUAL NPI |
500700508 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | CADCII 96-10-182 (Oregon) | Primary |
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