JACK OPGENORTH

MEDFORD, OR
NPI1376679969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  L2954)
Enumeration Date2007-02-26
Last Update Date2016-02-11
Business Address
MR. JACK OPGENORTH L.C.S.W.
1744 E MCANDREWS RD SUITE B
MEDFORD, OR 97504
Phone number: 541-776-0821
Mailing Address
MR. JACK OPGENORTH L.C.S.W.
1744 E MCANDREWS RD SUITE B
MEDFORD, OR 97504
Phone number: 541-776-0821
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