Healthcare Provider Details

I. General information

NPI: 1346607751
Provider Name (Legal Business Name): ATRIO HEALTH PLANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2016
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 NW AVIATION DR STE 3
ROSEBURG OR
97470-2077
US

IV. Provider business mailing address

2270 NW AVIATION DR STE 3
ROSEBURG OR
97470-2077
US

V. Phone/Fax

Practice location:
  • Phone: 877-672-8620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. RUTH BAUMAN
Title or Position: CEO
Credential:
Phone: 541-672-8670