ROGUE RETREAT
NPI 1881346500
Voluntary or Charitable in Medford, OR
Active since January 24, 2022
About Rogue Retreat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGUE RETREAT (NPI 1881346500) is a healthcare organization registered as a voluntary or charitable in Medford, Oregon and active in the NPI registry since January 2022. The organization lists Sam Michael Engel, Executive Director, as its authorized official.
NPPES Registry Identity
NPI1881346500
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameROGUE RETREAT
Location Address711 E MAIN ST STE 25Medford, OR 97504-7139
Mailing Address711 E Main St Ste 25Medford, OR 97504-7139 · (541) 499-0880 · Fax (541) 690-1670
Phone(541) 499-0880
Fax(541) 690-1670
Organization SubpartNo
Authorized OfficialSam Michael EngelExecutive Director · (541) 499-0880
Enumeration DateJanuary 24, 2022
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1881346500 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
711 E MAIN ST STE 25, Medford, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881346500, enumerated as an "organization" on January 24, 2022.
The provider is located at 711 E MAIN ST STE 25 MEDFORD, OR 97504 and the phone number is (541) 499-0880.
Voluntary or Charitable with taxonomy code 251V00000X.