| Foundation Services Group, Inc | |
|
372 Sw 1st Ave Ontario OR 97914-2734 | |
| (541) 881-1271 | |
| (541) 881-1256 |
| Full Name | Foundation Services Group, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 372 Sw 1st Ave, Ontario, Oregon |
| Authorized Official Name and Position | Linda K. Burks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5418811271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Services Group, Inc 372 Sw 1st Ave Ontario OR 97914-2734 Ph: (541) 881-1271 | Foundation Services Group, Inc 372 Sw 1st Ave Ontario OR 97914-2734 Ph: (541) 881-1271 |
| NPI Number | 1457539785 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457539785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 48846299 (Oregon) | Primary |
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