JACKSON PHADAH

MEDFORD, OR
NPI1144110172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-07-09
Last Update Date2025-07-09
Business Address
JACKSON PHADAH
2559 MERRIMAN RD.
MEDFORD, OR 97501
Phone number: 541-237-0053
Mailing Address
JACKSON PHADAH
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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