Caleb Wright, | |
3200 Juanipero Way, Medford, OR 97504-8580 | |
(541) 816-4131 | |
(458) 226-2163 |
Full Name | Caleb Wright |
---|---|
Gender | Male |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 3200 Juanipero Way, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164949970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 202010134RN (Oregon) | Primary |
Entity Name | Salt Lake Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
Mailing Address | Practice Location Address |
---|---|
Caleb Wright, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Caleb Wright, 3200 Juanipero Way, Medford, OR 97504-8580 Ph: (541) 816-4131 |
Heather Marie Friend, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-773-9772 Fax: 541-773-1113 | |
Katherine Leonis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Beatty St, Medford, OR 97501 Phone: 541-476-2373 | |
Tamara Joy Chambers, APRN, FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 | |
Ms. Kendra Genelle Brown, RN, BSN, QMHP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3587 Heathrow Way, Medford, OR 97504 Phone: 503-858-8170 Fax: 541-858-8167 | |
Kara E. Carney, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 Fax: 541-512-1026 | |
Daniel Maclellan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 | |
Karen Ann Kozleski, MSN, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3524 Heathrow Way, Medford, OR 97504 Phone: 541-646-3505 |