MICHAEL GORTON

MEDFORD, OR
NPI1821457441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  98-04-83)
Enumeration Date2016-02-11
Last Update Date2016-02-11
Business Address
-- MICHAEL GORTON
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number: 541-772-1777
Mailing Address
-- MICHAEL GORTON
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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