Organization Name: | COUNTY OF JEFFERSON |
NPI Number: | 1235307067 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM M MACHALA (DIRECTOR) |
Mailing Address: | 715 Sw 4th St Suite C Madras |
State: | OR US |
Postal Code: | 977411022 |
Phone Number: | 5414754456 |
Fax Number: | 5414750132 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 10/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | CH-0000017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |