Organization
JOSEPHINE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOODWIN (DIRECTOR, JUVENILE JUSTICE)
(541) 474-5186
Entity
Organization
Contact information
Practice address
301 NW F STREET, GRANTS PASS, OR 97526
(541) 474-5404
(541) 474-5103
Mailing address
301 NW F STREET, GRANTS PASS, OR 97526
(541) 474-5186
(541) 474-5181
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043138
—
OR
05
—
097519
—
OR
05
—
320093
—
OR
05
—
500-500-168
—
OR
Enumeration date
06/01/2005
Last updated
03/19/2018
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