BRAYTON DANIEL TOMPKINS

MEDFORD, OR
NPI1417388703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-12-11
Last Update Date2021-09-17
Business Address
BRAYTON DANIEL TOMPKINS
601 S. PEACH STREET
MEDFORD, OR 97501
Phone number: 541-842-3855
Mailing Address
BRAYTON DANIEL TOMPKINS
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: