County of Jackson

NPI #1710933379 in Medford, Oregon

Provider Information

NPI Number: 1710933379
Entity Type: Organization
Organization Name: County of Jackson
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 25, 2006
Last Updated: Dec 11, 2014

Practice Location

Address: 140 SOUTH HOLLY STREET
City: Medford
State: Oregon
ZIP Code: 97501
Phone: (541) 774-8200

Authorized Official

Name: MR. MARK JERRY ORNDOFF, MS SOCIAL SCIENCE
Title: DIRECTOR
Phone: (541) 774-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Family Planning Facility — Ambulatory Family Planning Facility	261QA0005X
Public Health or Welfare	251K00000X
Clinic/Center - Methadone — Methadone	261QM2800X
Case Manager/Care Coordinator	171M00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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MRS. Amy Jean Douglas	Clinic/Center - Mental Health (Including Community Mental Health Center)	Medford	AI Deep Dive

Organizations

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Options for Southern Oregon, INC	Clinic/Center - Mental Health (Including Community Mental Health Center)	Medford	AI Deep Dive
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Columbiacare Services	Clinic/Center - Mental Health (Including Community Mental Health Center)	Medford	AI Deep Dive
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