OPTIONS FOR SOUTHERN OREGON (NPI# 1336660331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336660331 |
Entity Type | Organization |
Organization Name | OPTIONS FOR SOUTHERN OREGON |
Other Organization Name | JACKSON |
Practice Address |
3501 Excel Dr Ste 225 Medford OR 97504-8067 |
Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
Practice Telephone | 5414762373 |
Mailing Telephone | 5414762373 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2018-03-17 |
Authorized Official Name | KARLA MCCAFFERTY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5414762373 |
Authorized Official Credential | MPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jackson | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1700 E Barnett Rd, Medford, OR 975040052 | 5414762373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033597042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 310 Bushnell Way, Grants Pass, OR 97527-9103 | 2015-05-11 |
1023253770 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2008-12-10 |
1346485042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 900 Hitching Post Rd, Grants Pass, OR 97526-9710 | 2008-12-09 |
1558366492 | Options for Southern Oregon | Case Management | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2005-06-16 |
1205489994 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-07-22 |
1831651843 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-04-01 |
1225559222 | Options for Southern Oregon | Clinic/Center | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-29 |
1306367305 | Options for Southern Oregon | Clinic/Center | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-06-29 |
1104346782 | Options for Southern Oregon | Case Management | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-23 |
1043751597 | Options for Southern Oregon | Case Management | 3501 Excel Dr, Ste 225, Medford, OR 97504-8067 | 2017-03-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OPTIONS FOR SOUTHERN OREGON INC | 1215 Sw G St, Grants Pass, OR 97526-2544 |
Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON, INC. | 1215 Sw G St, Grants Pass, OR 97526 |
Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON- JACKSON COUNTY | 1215 Sw G St, Grants Pass, OR 97526 |
Street Address |
3501 EXCEL DR STE 225 |
City | MEDFORD |
State | OR |
Zip Code | 97504-8067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699163931 | Violeta Iguchi | Counselor | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2015-01-08 |
1265916001 | Keith Allen Breswick | Counselor | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2018-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750940359 | Recovery Grads, LLC | Clinic/Center | 200 Boston Ave Ste 1925, Medford, MA 02155-4243 | 2019-06-07 |
1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
1326240037 | Community Works, Inc. | Clinic/Center | 201 W Main St, #3d, Medford, OR 97501-2744 | 2007-06-04 |
1184743403 | Elmlifelines | Clinic/Center | 23 S Main St, Medford, NJ 08055-2444 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940298 | New Start Program | Clinic/Center | 12180 Se Market St, Portland, OR 97216-3923 | 2020-01-03 |
1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
1518419779 | Bend Iop | Clinic/Center | 20354 Empire Ave, Bend, OR 97703-5710 | 2016-11-03 |
1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
1194150326 | Goforth Inspired LLC | Clinic/Center | 345 Ne Baker Creek Rd, Mcminnville, OR 97128-2019 | 2013-09-06 |
1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
1427109222 | Crc Health Oregon | Clinic/Center | 885 Sw 30th St, Ontario, OR 97914-4626 | 2007-01-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.