BOBETTE DALE YOUNG (NPI# 1790113868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790113868 |
Entity Type | Individual |
Full Name | BOBETTE DALE YOUNG |
Practice Address |
5110 Sturdivant Ave Klamath Falls OR 97603-8014 |
Mailing Address |
5110 Sturdivant Ave Klamath Falls OR 97603 |
Practice Telephone | 5417292717 |
Mailing Telephone | 5417292717 |
Enumeration Date | 2013-10-28 |
Last Update Date | 2013-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | Respite Care Facility |
Street Address |
5110 STURDIVANT AVE |
City | KLAMATH FALLS |
State | OR |
Zip Code | 97603-8014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
Find all providers in zip 97603 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396287702 | Martins Manor | Respite Care | 1115 Sw Nye Ave, Pendleton, OR 97801-9405 | 2016-11-16 |
1659770568 | Luke-dorf | Respite Care | 20988 Sw Sister Ln, Beaverton, OR 97006-6028 | 2014-08-15 |
1720323835 | Community Counseling Solutions | Respite Care | 194 Ford Road, John Day, OR 97845 | 2012-11-29 |
1144523275 | Havenhill Inc | Respite Care | 555 Misty Hill Ln Se, Salem, OR 97306-9854 | 2010-12-11 |
1548561566 | Community Counseling Solutions | Respite Care | 68982 Willow Creek Drive, Heppner, OR 97836 | 2010-11-08 |
1740477785 | Pat Pendleys Jamaerobics Inc | Respite Care | 340 1st Ave E, Albany, OR 97321-2211 | 2007-10-03 |
1356438592 | Columbiacare Services | Respite Care | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2006-10-09 |
1316402589 | Pioneer Relief Nursery Inc | Respite Care | 1312 Sw 2nd St, Pendleton, OR 97801-4160 | 2019-02-01 |
1013355601 | Stephanie Twellman | Respite Care | 1118 Oak St Se, Salem, OR 97301-4019 | 2013-06-05 |
1164865499 | Ralph and Millie's Place, Inc. | Respite Care | 220 Cinbar Dr, Roseburg, OR 97471-9385 | 2013-04-17 |
Find all providers with the same taxonomy |
City | KLAMATH FALLS |
Zip Code | 97603 |
Please comment or provide details below to improve the information on BOBETTE DALE YOUNG.
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.