OrganizationActive
Oregon 180
NPI 1083070361 · Emotionally Disturbed Childrens' Residential Treatment Facility · Medford, OR
Provider details
- NPI number
- 1083070361
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Karen Barnard, Program Manager(541) 621-3053
Specialties & taxonomies
Residential Treatment Facilities
Practice location
725 W 14th St
Medford, OR 97501-3429
Phone: (541) 621-3053
Approximate (ZIP-level) locationGet directions
Mailing address
725 W 14th St
Medford, OR 97501-3429
Registry dates
- Enumerated
- 2016-01-03
- Last updated
- 2016-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.