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Organization
THE CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
Active
Organization
THE CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE STACONA (SECRETARY/TREASURER-CEO)
(541) 553-3232
Entity
Organization
Contact information
Practice address
1115 WASCO ST., WARM SPRINGS, OR 97761-3001
(541) 553-3205
(541) 553-4900
Mailing address
P.O. BOX C, WARM SPRINGS, OR 97761-3001
(541) 553-3205
(541) 553-4900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
136064
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136064
TARGETED CASE MANAGEMENT
OR
Enumeration date
11/02/2006
Last updated
08/04/2020
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