SOUTHERN OREGON REHABILITATION CENTER AND CLINICS
NPI 1386714053
Clinic/Center - Adult Mental Health in White City, OR

Q: What is Department Of Veterans Affairs's NPI number?

The NPI number for Department Of Veterans Affairs is 1386714053. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Southern Oregon Rehabilitation Center And Clinics.

Q: What is Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since November 09, 2006

8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111(541) 830-7485 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Oregon Rehabilitation Center And Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OREGON REHABILITATION CENTER AND CLINICS (NPI 1386714053) is a healthcare organization registered as an adult mental health in White City, Oregon and active in the NPI registry since November 2006. The organization lists Max E Mcintosh, Director, as its authorized official.

NPPES Registry Identity

NPI1386714053

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameDEPARTMENT OF VETERANS AFFAIRS

Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011

Mailing Address307 Gangnes DrTalent, OR 97540-6655 · (541) 535-1773

Phone(541) 826-2111

Fax(541) 830-7485

Organization SubpartNo

Authorized OfficialMax E McintoshDirector · (541) 826-2111

Enumeration DateNovember 9, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1386714053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

License✔ Licensed in MD · AA426809

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

8495 CRATER LAKE HWY, White City, OR 97503

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Other Names 1

Other NameSouthern Oregon Rehabilitation Center And Clinics

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIAN ANTHONY GARIBAY

Registered Nurse

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

KANDICE DRAAYER RN

Registered Nurse (Psychiatric/Mental Health, Adult)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

WHITE CITY VAMC

General Acute Care Hospital

8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503

Jackson County (702) 341-3164

MR. KEVIN LEONARD WILLIAMS MSW, LCSW

Social Worker (Clinical)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

DR. ERIC GUSTAFSON PHARM.D.

Pharmacist

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

LYN WAYNE SHEPERD

Registered Nurse

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

JEAN EILEEN MOUNT

Nurse Practitioner (Adult Health)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC

Counselor (Mental Health)

8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Jackson County (541) 826-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Veterans Affairs's NPI number?

The NPI number for Department Of Veterans Affairs is 1386714053. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is also known as Southern Oregon Rehabilitation Center And Clinics.

Where is Department Of Veterans Affairs located?

Department Of Veterans Affairs is located at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Department Of Veterans Affairs was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.