Organization
NIBBUS COMBINED CARE LLC
Active
Parent organization
NIBBUS COMBINED CARE LLC
Other names
NiBBuS CombiNed Care Outpatient Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIBBUS COMBINED CARE LLC
Authorized official
MRS. BRENDA L WATSON (OWNER)
(458) 225-9993
Entity
Organization
Contact information
Practice address
1175 E MAIN ST STE 1B, MEDFORD, OR 97504-7457
(458) 225-9990
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(458) 225-9993
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
03/06/2025
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