| Robert Skidmore Phd Llc | |
|
18 Portland Ave Medford OR 97504-7309 | |
| (541) 500-8655 | |
| Not Available |
| Full Name | Robert Skidmore Phd Llc |
|---|---|
| Speciality | Counselor |
| Location | 18 Portland Ave, Medford, Oregon |
| Authorized Official Name and Position | Robert Skidmore (OWNER) |
| Authorized Official Contact | 5415008655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Skidmore Phd Llc Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Robert Skidmore Phd Llc 18 Portland Ave Medford OR 97504-7309 Ph: (541) 500-8655 |
| NPI Number | 1720558604 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 8729511969 |
|---|---|
| Medicare Enrollment ID | O20241028000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720558604 | NPI | - | NPPES |
| 500722503 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Robert C Skidmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942547906 PECOS PAC ID: 0547793788 Enrollment ID: I20241028001099 |
Stacey Guss Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14 Cottage St, Medford, OR 97504 Phone: 541-779-2390 Fax: 541-779-3260 | |
Chiron Center Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2909 N Phoenix Rd, Medford, OR 97504 Phone: 855-343-6012 | |
Paradigm Mental Health And Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 724 S Central Ave Ste 101d, Medford, OR 97501 Phone: 541-324-7171 | |
Robert L Nutting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 S Central Ave, Medford, OR 97501 Phone: 541-500-8655 Fax: 800-433-1396 | |
Access Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3630 Aviation Way, Ssvf Program, Medford, OR 97504 Phone: 458-488-3898 |