| Columbacare Services | |
|
3200 Juanipero Way Medford OR 97504 | |
| (541) 858-8170 | |
| Not Available |
| Full Name | Columbacare Services |
|---|---|
| Speciality | Clinic/center |
| Location | 3200 Juanipero Way, Medford, Oregon |
| Authorized Official Name and Position | Michael Sewitsky (FINANCE DIRECTOR) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbacare Services 3587 Heathrow Way Medford OR 97504-4004 Ph: (541) 858-8170 | Columbacare Services 3200 Juanipero Way Medford OR 97504 Ph: (541) 858-8170 |
| NPI Number | 1902374531 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902374531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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