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Organization

ACCESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THADDEUS D CRAWFORD RCFA (HEALTHCARE NAVIGATOR)
(458) 488-3898
Entity
Organization

Contact information

Practice address
3630 AVIATION WAY, SSVF PROGRAM, MEDFORD, OR 97504
(458) 488-3898
Mailing address
3630 AVIATION WAY, SSVF PROGRAM, MEDFORD, OR 97504
(458) 488-3898

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/16/2024
Last updated
08/27/2024
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