| Rogue Holistic Therapy | |
|
724 S Central Ave Ste 215e Medford OR 97501-7851 | |
| (541) 203-0056 | |
| Not Available |
| Full Name | Rogue Holistic Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 724 S Central Ave Ste 215e, Medford, Oregon |
| Authorized Official Name and Position | Coriann Matthews (OWNER) |
| Authorized Official Contact | 5413243173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Holistic Therapy Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Rogue Holistic Therapy 724 S Central Ave Ste 215e Medford OR 97501-7851 Ph: (541) 203-0056 |
| NPI Number | 1881285658 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Medicare PECOS PAC ID | 1456768035 |
|---|---|
| Medicare Enrollment ID | O20210326000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881285658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Coriann Ranea Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497181994 PECOS PAC ID: 2365859949 Enrollment ID: I20210326001585 |
People's Art Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 N Central Ave Ste 219, Medford, OR 97501 Phone: 541-499-5214 | |
Southern Oregon Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Main St Ste 1b, Medford, OR 97501 Phone: 541-499-5753 | |
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 |