NPI 1861575912

Jefferson Behavioral Health

Organisation Exclusive Provider Organization Grants Pass, OR

Practice location

Address: 223 SE M St Hamilton House Annex, Grants Pass, OR 97526-3133
Phone: (541) 955-9565
Fax: (541) 955-8290

Authorised official

Name: Arlene Logan
Title: Executive Director
Phone: (541) 955-9565

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Oregon →

Registry record

NPI: 1861575912
Entity type: Organization
NPI issued: 23 Oct 2006
Record last updated: 22 Aug 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.