Organization · Type 2 NPI

Southern Oregon Behavioral Wellness Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Medford, OR

NPI number 1801408901 Active

Practice location

1148 Stanford Ave
Medford, OR 97504-8924

Mailing address

1609 E Barnett Rd
Medford, OR 97504-8284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1801408901

Southern Oregon Behavioral Wellness Center's National Provider Identifier is 1801408901, issued on Aug 19, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Medford, OR. The record was last updated on May 19, 2021.