Stacy D,ann Fountain
Case Manager/Care Coordinator in Medford, OR. Individual provider (NPI-1).
NPI number1023312972
StatusActive
Last updated in NPPESJan 7, 2011
Details
- NPI
- 1023312972
- Entity type
- Individual (NPI-1)
- Name
- Ms. Stacy D,ann Fountain
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2011
- Last updated
- Jan 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
100e. Main St.Medford, OR 97504
Phone 541-292-7177
Mailing address
100 E Main StMedford, OR 97501-6041
Phone 541-292-7177
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All 177 Case Manager/Care Coordinator providers in Medford · All 5,435 providers in Medford
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