| Jackson County Mental Health | |
|
1005 E Main St Medford OR 97504-7448 | |
| (541) 324-2636 | |
| Not Available |
| Full Name | Jackson County Mental Health |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 1005 E Main St, Medford, Oregon |
| Authorized Official Name and Position | Sanford E Esry (MENTAL HEALTH SPECIALIST III) |
| Authorized Official Contact | 5413242636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson County Mental Health 1005 E Main St Medford OR 97504-7448 Ph: (541) 324-2636 | Jackson County Mental Health 1005 E Main St Medford OR 97504-7448 Ph: (541) 324-2636 |
| NPI Number | 1811293384 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811293384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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