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Lifesource,inc

Lifesource,inc is a health care provider in Foster, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1266 44th Ave, Sweet Home, OR 97386-1235, US
Practice Location Phone541-409-1206
Practice Location Fax541-367-1995
Legal Business NameLIFESOURCE,INC
NPI ?1073954806
Entity TypeOrganization
Enumeration Date ? Jul 9, 2013
Last Update Date ? Jul 9, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lifesource,inc

SpecialtySpecializationLicenseLicense State
Community/Behavioral Health C0734Oregon

official-icon Authorized Official of Lifesource,inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lifesource,inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Peter Thomas Kauffman (MA)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number541-409-1206