Organization
ORTC, LLC
Active
Parent organization
ORTC, LLC
Other names
Medford Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTC, LLC
Authorized official
DANA JORGENSEN (AUTHORIZED OFFICIAL)
(541) 322-1794
Entity
Organization
Contact information
Practice address
750 BIDDLE RD STE 102, MEDFORD, OR 97504-6178
(541) 208-1785
(541) 653-8196
Mailing address
750 BIDDLE RD STE 102, MEDFORD, OR 97504-6178
(541) 208-1785
(541) 653-8196
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
02/11/2020
Last updated
09/16/2021
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