Organization Name: | COMMUNITY REHABILITATION SERVICES OF OREGON |
NPI Number: | 1801012695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN JOHNSON (PROGRAM COORDINATOR) |
Mailing Address: | 1501 Pearl St Suite B Eugene |
State: | OR US |
Postal Code: | 974014606 |
Phone Number: | 5413421980 |
Fax Number: | 5413426207 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |