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Organization
COLUMBIACARE SERVICES INC
Active
Organization
COLUMBIACARE SERVICES INC
Active
Other names
Pony Creek Board and Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEWITSKY (FINANCE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
2345 MARION ST, NORTH BEND, OR 97459-2637
(541) 270-0219
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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