Confederated Tribes of the Warm Springs Reservation of Oregon

NPI #1376199398 in Warm Springs, Oregon

Provider Information

NPI Number
1376199398
Entity Type
Organization
Organization Name
Confederated Tribes of the Warm Springs Reservation of Oregon
Primary Specialty
Physical Therapist
Enumeration Date
Aug 15, 2019
Last Updated
Feb 1, 2022

Practice Location

Address
2124 WARM SPRINGS ST.
State
Oregon
ZIP Code
97761
Phone
(541) 777-2663

Authorized Official

Name
MICHELE STACONA
Title
SECRETARY-TREASURER/CEO
Phone
(541) 553-3232

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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