Organization
UNIVERSITY PROFESSIONAL SERVICES
Active
Parent organization
UNIVERSITY PROFESSIONAL SERVICES
Other names
Child Development & Rehabilitation Center - Rogue Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Authorized official
MR. TOM HECKLER (ASSOCIATE DEAN)
(503) 494-4481
Entity
Organization
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(503) 494-9000
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UMG, PORTLAND, OR 97239-3011
(503) 494-8471
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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