Organization
CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH COLLINS (DIRECTOR OF MANAGED CARE)
(541) 553-4948
Entity
Organization
Contact information
Practice address
1270 KOT NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
Mailing address
1270 KOTNUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
26
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164964
—
OR
Enumeration date
11/04/2010
Last updated
01/31/2022
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