Robert L Nutting | |
3157 Rainbow Ln Eagle Point OR 97524-9638 | |
(541) 660-5714 | |
Not Available |
Full Name | Robert L Nutting |
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Speciality | Counselor - Mental Health |
Location | 3157 Rainbow Ln, Eagle Point, Oregon |
Authorized Official Name and Position | Robert L Nutting (CLINICAL SOCIAL WORKER/BODY WORKER) |
Authorized Official Contact | 5416605714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert L Nutting 3157 Rainbow Ln Eagle Point OR 97524-9638 Ph: (541) 660-5714 | Robert L Nutting 3157 Rainbow Ln Eagle Point OR 97524-9638 Ph: (541) 660-5714 |
NPI Number | 1124532643 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 11/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124532643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | L5127 (Oregon) | Primary |
225700000X | Massage Therapist | 13488 (Oregon) | Secondary |
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Walmart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 Hannon Rd, Eagle Point, OR 97524 Phone: 541-826-2670 | |
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