institution
Providence Health & Services - Oregon
Adolescent and Children Mental Health Clinic/Center in Eagle Point, Oregon
NPI 1922481456

Providence Health & Services - Oregon is an Adolescent and Children Mental Health Clinic/Center based in Portland, OR and is specialized in Adolescent and Children Mental Health. Providence Health & Services - Oregon practices in Eagle Point, OR. The NPI Number for Providence Health & Services - Oregon is 1922481456 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 10830 Highway 62, Eagle Point, OR and can be reached out via phone at 541-830-4060 and via fax at 541-830-4090.

Location: 10830 Highway 62, Eagle Point, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1922481456
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
10830 Highway 62, Eagle Point, OR, 97208-3158
Phone Number
541-830-4060
Fax Number
541-830-4090
Provider Enumeration Date
07/01/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500688628 05 OR
institution
Provider Business Practice Location Address Details
Address
10830 Highway 62
City
State
Zip
97524-9516
Phone Number
541-830-4060
Fax Number
541-830-4090
person
Provider Business Mailing Address Details
Address
10830 Highway 62
City
State
Zip
97524-9516
Phone Number
541-830-4060
Fax Number
541-830-4090
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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