NPI 1154794832

Peak Experience, PC

Organisation Community/Behavioral Health Agency Ashland, OR

Practice location

Address: 149 Clear Creek Dr Suite 102, Ashland, OR 97520-1881
Phone: (541) 951-4329
Mailing address: 552 Beach St, Ashland, OR 97520-3212

Authorised official

Name: Scott Bandoroff
Title: President
Phone: (541) 951-4329

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1120 (OR)

Other Community/Behavioral Health providers in Oregon →

Registry record

NPI: 1154794832
Entity type: Organization
NPI issued: 4 Nov 2015
Record last updated: 4 Nov 2015

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.