Organization
JASPER MOUNTAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MISHLER (HR ASSISTANT)
(541) 747-1235
Entity
Organization
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 741-7402
Mailing address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 741-7402
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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