Organization
CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH COLLINS (MANAGED CARE DIRECTOR)
(541) 553-2494
Entity
Organization
Contact information
Practice address
1270 KOT NUM ROAD, WARM SPRINGS, OR 97761-3001
(541) 553-1196
(541) 553-2476
Mailing address
PO BOX C, WARM SPRINGS, OR 97761-3001
(541) 553-3205
(541) 553-4900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
1223D0001X
Public Health Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164964
—
OR
Enumeration date
03/18/2009
Last updated
03/06/2026
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