Douglas Resident Training Facilities, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

DD2194 Issued in OR

Legal business name

DOUGLAS RESIDENT TRAINING FACILITIES, INC

Practice address

931 NW Highland St
Roseburg, OR 97470-5136

Phone

(541) 679-6237

Fax

(541) 679-3943

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Chris Spens

Title

Executive Director

Phone

(541) 679-6237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1235474354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 NW HIGHLAND ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705136",
            "telephone_number": "541-679-6237",
            "fax_number": "541-679-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NW HIGHLAND ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705136",
            "telephone_number": "541-679-6237",
            "fax_number": "541-679-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS RESIDENT TRAINING FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "SPENS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-679-6237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OR",
            "license": "DD2194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Education Service District
• Douglas Esd
• Douglas Medical Clinic PC
• Douglas Medical Equipment Supply LLC
• Douglas Medical Group, LLC
• Teresa Dove, BS, RDH, EPDH
• Robin Kory Dow, PT
• Susan Anne Dowell
• Michele Louise Downes, FNP
• Dr Preeti PC

• Intellectual Disabilities Intermediate Care Facility in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Intellectual Disabilities Intermediate Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.