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Organization

MOUNTAIN VIEW MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELYNDA OWENS (BILLING & CREDENTIALING MANAGER)
(541) 500-8655
Entity
Organization

Contact information

Practice address
33 N CENTRAL AVE STE 409, MEDFORD, OR 97501-5939
(541) 941-2028
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
(800) 433-1396

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/19/2020
Last updated
07/31/2020
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