Columbiacare Services

NPI #1992245625 in Medford, Oregon

Provider Information

NPI Number: 1992245625
Entity Type: Organization
Organization Name: Columbiacare Services
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Feb 28, 2017
Last Updated: Feb 28, 2017

Practice Location

Address: 3587 HEATHROW WAY
Address 2: SUITE #1
City: Medford
State: Oregon
ZIP Code: 97504-4004
Phone: (541) 858-8170

Authorized Official

Name: MR. MIKE DAVID SEWITSKY
Title: FINANCE MANAGER
Phone: (541) 858-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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