Healthcare Provider Details

I. General information

NPI: 1508802489
Provider Name (Legal Business Name): DHS/OFFICE OF FINANCIAL SERVICES IRS/EOPC/BMRC/EOTC/OSH/OSH-P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 CENTER ST NE
SALEM OR
97301-2669
US

IV. Provider business mailing address

PO BOX 14900
SALEM OR
97309-5016
US

V. Phone/Fax

Practice location:
  • Phone: 503-945-2800
  • Fax: 503-945-2807
Mailing address:
  • Phone: 503-945-9840
  • Fax: 503-947-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number140160
License Number StateOR

VIII. Authorized Official

Name: KAREN JAMIESON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 503-947-2676