| Rogue Therapy | |
|
328 S Central Ave Ste 213 Medford OR 97501-7274 | |
| (541) 272-1664 | |
| (800) 433-1396 |
| Full Name | Rogue Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 328 S Central Ave Ste 213, Medford, Oregon |
| Authorized Official Name and Position | Lisa Jamison (OWNER) |
| Authorized Official Contact | 5417271664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Therapy Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Rogue Therapy 328 S Central Ave Ste 213 Medford OR 97501-7274 Ph: (541) 272-1664 |
| NPI Number | 1922607464 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/24/2020 |
| Certification Date | 10/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922607464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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