| Jasper Mountain | |
|
37875 Jasper Lowell Rd Jasper OR 97438-9751 | |
| (541) 741-7402 | |
| Not Available |
| Full Name | Jasper Mountain |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 37875 Jasper Lowell Rd, Jasper, Oregon |
| Authorized Official Name and Position | Karen Mishler (HR ASSISTANT) |
| Authorized Official Contact | 5417471235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Mountain 37875 Jasper Lowell Rd Jasper OR 97438-9751 Ph: (541) 741-7402 | Jasper Mountain 37875 Jasper Lowell Rd Jasper OR 97438-9751 Ph: (541) 741-7402 |
| NPI Number | 1891462784 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891462784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |