Mr Robert C Skidmore, MDIV, MA, LPC, CADC | |
18 Portland Ave, Medford, OR 97504-7309 | |
(541) 857-0873 | |
(541) 245-1530 |
Full Name | Mr Robert C Skidmore |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 18 Portland Ave, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942547906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C3047 (Oregon) | Primary |
Entity Name | Robert Skidmore Phd Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720558604 PECOS PAC ID: 8729511969 Enrollment ID: O20241028000997 |
Mailing Address | Practice Location Address |
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Mr Robert C Skidmore, MDIV, MA, LPC, CADC 18 Portland Ave, Medford, OR 97504-7309 Ph: (541) 857-0873 | Mr Robert C Skidmore, MDIV, MA, LPC, CADC 18 Portland Ave, Medford, OR 97504-7309 Ph: (541) 857-0873 |
Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948 | |
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373 | |
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409 | |
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 | |
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127 | |
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948 | |
Noah Drake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Biddle Rd, Medford, OR 97504 Phone: 541-494-3800 |