| Robert L. Nutting, Llc | |
|
18 Portland Ave Medford OR 97504-7309 | |
| (541) 660-5714 | |
| (541) 245-1530 |
| Full Name | Robert L. Nutting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 Portland Ave, Medford, Oregon |
| Authorized Official Name and Position | Robert Lewis Nutting (BUSINESS OWNER) |
| Authorized Official Contact | 5416605714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L. Nutting, Llc Po Box 2303 White City OR 97503 Ph: (541) 660-5714 | Robert L. Nutting, Llc 18 Portland Ave Medford OR 97504-7309 Ph: (541) 660-5714 |
| NPI Number | 1831444611 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831444611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
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