Provider Demographics
NPI:1932826237
Name:CIRCLETREE GROUP
Entity Type:Organization
Organization Name:CIRCLETREE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/MGMT
Authorized Official - Prefix:
Authorized Official - First Name:TAMZID
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-331-2996
Mailing Address - Street 1:2914 NW ESSEX AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-9231
Mailing Address - Country:US
Mailing Address - Phone:541-331-2996
Mailing Address - Fax:
Practice Address - Street 1:2914 NW ESSEX AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-9231
Practice Address - Country:US
Practice Address - Phone:541-331-2996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities