| Riverstone Therapy Llc | |
|
937 Whitman Ave Medford OR 97501-3704 | |
| (530) 400-9736 | |
| Not Available |
| Full Name | Riverstone Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 937 Whitman Ave, Medford, Oregon |
| Authorized Official Name and Position | Morgan N Dixon (PRIMARY PROVIDER) |
| Authorized Official Contact | 5304009736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Therapy Llc 937 Whitman Ave Medford OR 97501-3704 Ph: (530) 400-9736 | Riverstone Therapy Llc 937 Whitman Ave Medford OR 97501-3704 Ph: (530) 400-9736 |
| NPI Number | 1700633237 |
|---|---|
| Provider Enumeration Date | 05/02/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700633237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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