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Organization

VETERAN AFFAIRSSOUTHERN OREGON REHABILITATION CENTER AND CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TWISS LCSW (CHIEF OF SOCIAL WORK)
(541) 826-2111
Entity
Organization

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3518
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3518

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
OR

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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