PAUL A ROCK

MEDFORD, OR
NPI1891149720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  19-08-29)
Enumeration Date2016-04-18
Last Update Date2020-02-26
Business Address
PAUL A ROCK CADC II
1003 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
Mailing Address
PAUL A ROCK CADC II
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282