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.
|Practice Location||1266 44th Ave, Sweet Home, OR 97386-1235, US|
|Practice Location Phone||541-409-1206|
|Practice Location Fax||541-367-1995|
|Legal Business Name||LIFESOURCE,INC|
|Enumeration Date ?||Jul 9, 2013|
|Last Update Date ?||Jul 9, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
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/Position||PRESIDENT|
|Authorized Official Phone Number||541-409-1206|