OrganizationActive
Impact of Oregon LLC
NPI 1063377711 · Behavior Analyst · Medford, OR
Impact of Oregon LLC is a Behavior Analyst organization in Medford, OR (NPI 1063377711).
Provider details
- NPI number
- 1063377711
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gina Bushey, Chief Operating Officer(503) 523-5605
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3539 Heathrow Way Ste 201
Medford, OR 97504-4148
Phone: (503) 523-5605
Street-level locationGet directions
Mailing address
3539 Heathrow Way Ste 201
Medford, OR 97504-4148
Additional practice locations (5)
- 20360 Empire AveBend, OR 97703-5709Phone: (503) 523-5605
- 2139 Centennial PlzEugene, OR 97401-2421Phone: (503) 523-5605
- 1547 Ne F StGrants Pass, OR 97526-4234Phone: (503) 523-5605
- 409 Pine St Ste 300Klamath Falls, OR 97601-6020Phone: (503) 523-5605
- 2198 Ne Stephens St Ste 202Roseburg, OR 97470-1410Phone: (503) 523-5605
Registry dates
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Impact of Oregon LLC's NPI number?
- Impact of Oregon LLC's National Provider Identifier (NPI) is 1063377711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact of Oregon LLC?
- Impact of Oregon LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Impact of Oregon LLC located?
- Impact of Oregon LLC's practice location on file with NPPES is 3539 Heathrow Way Ste 201, Medford, OR 97504-4148.
- What is Impact of Oregon LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact of Oregon LLC is (503) 523-5605.
- Who is the authorized official for Impact of Oregon LLC?
- The authorized official listed on Impact of Oregon LLC's NPPES record is Gina Bushey, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact of Oregon LLC's NPI active?
- Yes — Impact of Oregon LLC's NPI (1063377711) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.