Oregon 180

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

OREGON 180

Practice address

725 W 14TH St
Medford, OR 97501-3429

Phone

(541) 621-3053

NPI assigned

Jan 3, 2016

Last updated

Jan 3, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Barnard, MWS

Title

Program Manager

Phone

(541) 621-3053

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451779200000",
    "number": "1083070361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W 14TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013429",
            "telephone_number": "541-621-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W 14TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013429",
            "telephone_number": "541-621-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON 180",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-621-3053",
        "authorized_official_credential": "MWS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Options for Southern Oregon
• Optometric Care of Oregon (Eyecare Associates of Southern Oregon)
• Or- Medical Supply, Inc
• Oral and Maxillofacial Surgery
• John C Ordal, MD
• Oregon Advanced Imaging LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC
• Oregon Advanced Imaging, LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Medford, OR
• Providers in Medford, OR by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.