KIRBY DOUGLAS RIDER

MEDFORD, OR
NPI1689144750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
251B00000X Case Management
Enumeration Date2018-11-30
Last Update Date2018-12-27
Business Address
Mr. KIRBY DOUGLAS RIDER QMHA, PSS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-9871
Mailing Address
Mr. KIRBY DOUGLAS RIDER QMHA, PSS
359 BESSIE ST
MEDFORD, OR 97504-6801
Phone number: 971-777-0395