Organization
REDEMPTION RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE KAPPLE (EXECUTIVE DIRECTOR)
(541) 816-4415
Entity
Organization
Contact information
Practice address
503 AIRPORT RD STE 103, MEDFORD, OR 97504-4159
(541) 816-4415
Mailing address
711 MEDFORD CTR # 264, MEDFORD, OR 97504-6772
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/18/2016
Last updated
07/21/2017
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