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NPI 1073345245 · Community/Behavioral Health Agency · Medford, OR
Provider details
- NPI number
- 1073345245
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Thaddeus Crawford, Healthcare Navigator(458) 488-3898
Specialties & taxonomies
Agencies
Practice location
3630 Aviation Way
Ssvf Program
Medford, OR 97504
Phone: (458) 488-3898
Approximate (ZIP-level) locationGet directions
Mailing address
3630 Aviation Way
Medford, OR 97504
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.