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Matthew James Brumbaugh

Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).

NPI number1033540323
StatusActive
Last updated in NPPESDec 11, 2013

Details

NPI
1033540323
Entity type
Individual (NPI-1)
Name
Matthew James Brumbaugh
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 11, 2013
Last updated
Dec 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

711 Sw Ramsey Ave
Grants Pass, OR 97527-5500

Phone 541-479-5901

Mailing address

1715 Rogue River Hwy Apt 8
Grants Pass, OR 97527-4750

Phone 814-414-5430

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