JOHN BOEHM

MEDFORD, OR
NPI1033654520
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-06-07)
Enumeration Date2016-12-20
Last Update Date2016-12-20
Business Address
-- JOHN BOEHM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
-- JOHN BOEHM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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