OPTIONS FOR SOUTHERN OREGON (NPI# 1043751597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043751597 |
| Entity Type | Organization |
| Organization Name | OPTIONS FOR SOUTHERN OREGON |
| Other Organization Name | JACKSON |
| Practice Address |
3501 Excel Dr Ste 225 Medford OR 97504-8067 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Mailing Telephone | (541) 476-2373 |
| Mailing Fax Number | 5414761526 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | KARLA MCCAFFERTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5414762373 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jackson | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 E Barnett Rd, Medford, OR 975040052 | 5414762373 | |
| 3156 State St, Medford, OR 975048450 | 5414762373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 310 Bushnell Way, Grants Pass, OR 97527-9103 | 2015-05-11 |
| 1023253770 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2008-12-10 |
| 1346485042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 900 Hitching Post Rd, Grants Pass, OR 97526-9710 | 2008-12-09 |
| 1558366492 | Options for Southern Oregon | Case Management | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2005-06-16 |
| 1205489994 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-07-22 |
| 1831651843 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-04-01 |
| 1225559222 | Options for Southern Oregon | Clinic/Center | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-29 |
| 1336660331 | Options for Southern Oregon | Clinic/Center | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2017-06-29 |
| 1306367305 | Options for Southern Oregon | Clinic/Center | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-06-29 |
| 1104346782 | Options for Southern Oregon | Case Management | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPTIONS FOR SOUTHERN OREGON INC | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON, INC. | 1215 Sw G St, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON- JACKSON COUNTY | 1215 Sw G St, Grants Pass, OR 97526 |
| Street Address |
3501 EXCEL DR STE 225 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801191143 | Amanda Marie Swift | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2011-01-18 |
| 1982264883 | Saundra Joy Hart | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2019-06-13 |
| 1508322439 | Hadass Kantorowicz | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2019-02-15 |
| 1144786013 | Michael Velasquez | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2019-02-15 |
| 1386116952 | Travis Robert Psota | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2018-12-20 |
| 1033649330 | Wendy Stone | Behavioral Analyst | 3501 Excel Dr, Medford, OR 97504 | 2017-06-19 |
| 1295161701 | Therone Camba Chan | Counselor | 3501 Excel Dr, Medford, OR 97504-8067 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1255835104 | Columbiacare Services | Clinic/Center | 850 Swing Ln, Medford, OR 97501-1790 | 2018-03-23 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1407493513 | Peace In Mind Counseling | Clinic/Center | 1040 Crater Lake Ave Ste D, Medford, OR 97504-6295 | 2019-12-08 |
| 1649820762 | Allison Epstein, Ma, Lpc, LLC | Clinic/Center | 520 Stokes Rd Ste A10, Medford, NJ 08055-2904 | 2019-09-19 |
| 1720500614 | Linda Bellinson LLC | Clinic/Center | 14 Cottage St, Medford, OR 97504-7332 | 2017-07-12 |
| 1992248009 | Columbiacare Services | Clinic/Center | 1035 N Keene Way Dr, Medford, OR 97504-6253 | 2016-11-21 |
| 1376095836 | County of Jackson | Clinic/Center | 140 S Holly St, Medford, OR 97501-3113 | 2016-11-01 |
| 1861942096 | Columbiacare Services Inc | Clinic/Center | 201 W 6th St, Medford, OR 97501-2708 | 2016-10-12 |
| 1760751622 | Twin Oaks Community Services, Inc | Clinic/Center | 85 Union St, Medford, NJ 08055-2432 | 2011-12-22 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.