| Rawland Glass Inc | |
|
1050 Crater Lake Ave Ste D Medford OR 97504-6223 | |
| (541) 282-7814 | |
| Not Available |
| Full Name | Rawland Glass Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1050 Crater Lake Ave Ste D, Medford, Oregon |
| Authorized Official Name and Position | Rawland Glass (PRESIDENT) |
| Authorized Official Contact | 5412827814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rawland Glass Inc Po Box 4705 Medford OR 97501-0192 Ph: () - | Rawland Glass Inc 1050 Crater Lake Ave Ste D Medford OR 97504-6223 Ph: (541) 282-7814 |
| NPI Number | 1437337672 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437337672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Oregon) | Primary |
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