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.
- City
- Warm Springs
- 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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