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Organization

BLOMSTRA BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA RATUSNY (BILLER/CREDENTIALING)
(502) 401-1085
Entity
Organization

Contact information

Practice address
1630 WILLIAMS HWY # 279, GRANTS PASS, OR 97527-5660
(541) 596-9856
(541) 325-4839
Mailing address
1630 WILLIAMS HWY # 279, GRANTS PASS, OR 97527-5660
(541) 596-9856
(541) 325-4839

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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