Organization
COUNTY OF JEFFERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE RUSSELL MPH (DIRECTOR)
(541) 475-4456
Entity
Organization
Contact information
Practice address
500 NE A ST STE 102, MADRAS, OR 97741-1842
(541) 475-4456
(541) 475-0132
Mailing address
500 NE A ST STE 102, MADRAS, OR 97741-1842
(541) 475-4456
(541) 475-0132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CH-0000017
OR
251K00000X
Public Health or Welfare Agency
CH-0000017
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043070
—
OR
Enumeration date
01/09/2007
Last updated
09/08/2025
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