NPI 1134664816
Columbiacare Services
Practice location
- Address
- 503 Airport Rd STE 101, Medford, OR 97504-4159
- Phone
- (541) 858-8170
- Fax
- (541) 858-8167
- Mailing address
- 3587 Heathrow Way, Medford, OR 97504-4004
Authorised official
- Name
- Mike David Sewitsky
- Title
- Finance Manager
- Phone
- (541) 858-8170
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1134664816
- Entity type
- Organization
- NPI issued
- 4 Jan 2017
- Record last updated
- 20 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.