Organization
ROGUE RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM MICHAEL ENGEL (EXECUTIVE DIRECTOR)
(541) 499-0880
Entity
Organization
Contact information
Practice address
711 E MAIN ST STE 25, MEDFORD, OR 97504-7139
(541) 499-0880
(541) 690-1670
Mailing address
711 E MAIN ST STE 25, MEDFORD, OR 97504-7139
(541) 499-0880
(541) 690-1670
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/26/2026
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