| NPI Details | |
|---|---|
| NPI | 1043410962 |
| Enumeration Date | 07/19/2007 |
| Last Updated | 05/13/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | ROBERT C ROBERT |
| Position | EXECUTIVE DIRECTOR |
| Phone | (503) 660-8050 |
| Fax | (503) 492-4651 |
| Practice Location | |
|---|---|
| 1945 NE 205TH AVE FAIRVIEW OR, 97024-9622, US |
|
| Phone | (503) 660-8050 |
| Fax | (503) 492-4651 |
| Business Location | |
|---|---|
| 3587 HEATHROW WAY MEDFORD OR, 97504, US |
|
| Phone | (541) 858-8170 |
| Fax | (541) 858-8167 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 320800000X |
| License State | Oregon |
| License Number | 07863 |
| Remove 1043410962 NPI Number | |
According to our database, Columbiacare Services NPI is 1043410962, taxonomy code is 320800000X and license number is 07863, license state is located at Oregon. Columbiacare Services physically located at 1945 Ne 205th Ave, Fairview OR, 97024-9622. NPI Number 1033115704 has the healthcare provider type.
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1043410962 NPI number is provided on an as is basis without warranty of any kind. 1043410962 is maintained by the National Plan & Provider Enumeration System. The contents of Columbiacare Services are for informational purposes only.
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