Organization
COUNTY OF DOUGLAS
Active
Other names
Douglas County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY E MADISON (HEALTH DEPARTMENT ADMINISTRATOR)
(541) 440-3625
Entity
Organization
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500602529
—
OR
Enumeration date
01/04/2007
Last updated
05/09/2012
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