| Southern Oregon Rehabilitation Center And Clinics Vha | |
|
8495 Crater Lake Hwy White City OR 97503-3011 | |
| (541) 826-2111 | |
| (541) 830-3516 |
| Full Name | Southern Oregon Rehabilitation Center And Clinics Vha |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8495 Crater Lake Hwy, White City, Oregon |
| Authorized Official Name and Position | Cynthia Zippi (PROGRAM SPECIALIST) |
| Authorized Official Contact | 5418262111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oregon Rehabilitation Center And Clinics Vha 8495 Crater Lake Hwy White City OR 97503-3011 Ph: (541) 826-2111 | Southern Oregon Rehabilitation Center And Clinics Vha 8495 Crater Lake Hwy White City OR 97503-3011 Ph: (541) 826-2111 |
| NPI Number | 1164827937 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164827937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2313 (Oregon) | Primary |
Department Of Veterans Affairs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111 Fax: 541-830-7485 |