Provider Demographics
NPI:1760435234
Name:UNIVERSITY OF OREGON
Entity Type:Organization
Organization Name:UNIVERSITY OF OREGON
Other - Org Name:CASANOVA TREATMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:E
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-346-2257
Mailing Address - Street 1:2727 LEO HARRIS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8835
Mailing Address - Country:US
Mailing Address - Phone:541-346-2257
Mailing Address - Fax:855-850-1265
Practice Address - Street 1:2727 LEO HARRIS PARKWAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8835
Practice Address - Country:US
Practice Address - Phone:541-346-2257
Practice Address - Fax:855-850-1265
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF OREGON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center