Organization · Type 2 NPI

Nibbus Combined Care Outpatient Services

Adult Mental Health Clinic/Center · Medford, OR

NPI number 1962288829 Active

Practice location

1175 E Main St Ste 1B
Medford, OR 97504-7457

Call (458) 225-9990 Map

Mailing address

1175 E Main St Ste 2F
Medford, OR 97504-7457

Other practice locations

2240 Terrel Dr, Medford, OR 97501-8140 · (458) 226-5347
809 Amerman Dr, Phoenix, OR 97535-7729 · (458) 488-1253
1481 Kings Hwy, Medford, OR 97501-4010 · (458) 658-9643
1520 S Peach St, Medford, OR 97501-4051 · (458) 658-9386
3120 Centurion Cir, Medford, OR 97504-8363 · (458) 488-1250
805 Amerman Dr, Phoenix, OR 97535-7729 · (458) 291-1603

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2 other providers at this address

Other adult mental health clinic/center providers in Medford

See all in Medford →

NPI record

NPI: 1962288829
Entity type: Organization (Type 2)
Issued: Sep 6, 2023
Last updated: Oct 28, 2026
Status: Active
Subpart: Yes of Nibbus Combined Care LLC

Other names

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Nibbus Combined Care Outpatient Clinic · doing business as
Nibbus Combined Care Outpatient Clinic · doing business as

Authorized official

Brenda Lorean Watson
Founder/executive Director
(458) 225-9993

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962288829

Nibbus Combined Care Outpatient Services's National Provider Identifier is 1962288829, issued on Sep 6, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Medford, OR. The record was last updated on Oct 28, 2026.