Organization
JEFFERSON BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE LOGAN LCSW (EXECUTIVE DIRECTOR)
(541) 955-9565
Entity
Organization
Contact information
Practice address
223 SE M ST, HAMILTON HOUSE ANNEX, GRANTS PASS, OR 97526-3133
(541) 955-9565
(541) 955-8290
Mailing address
223 SE M ST, HAMILTON HOUSE ANNEX, GRANTS PASS, OR 97526-3133
(541) 955-9565
(541) 955-8290
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165300
—
OR
Enumeration date
10/23/2006
Last updated
08/22/2020
Update your record
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