Provider Demographics
NPI:1508397662
Name:BLUE FEATHER LLC
Entity type:Organization
Organization Name:BLUE FEATHER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-636-3679
Mailing Address - Street 1:PO BOX 41436
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-0349
Mailing Address - Country:US
Mailing Address - Phone:541-636-3679
Mailing Address - Fax:503-877-1702
Practice Address - Street 1:426 N BERTELSEN RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-1802
Practice Address - Country:US
Practice Address - Phone:541-636-3679
Practice Address - Fax:503-877-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-2237251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health