Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Other names
Southern Oregon Rehabilitation Center and Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX E MCINTOSH PHD (DIRECTOR)
(541) 826-2111
Entity
Organization
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7485
Mailing address
307 GANGNES DR, TALENT, OR 97540-6655
(541) 535-1773
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AA426809
MD
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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