Siskiyou Psychology LLC
Clinical Neuropsychologist in Medford, OR. Organization (NPI-2).
NPI number1104766765
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1104766765
- Entity type
- Organization (NPI-2)
- Legal business name
- Siskiyou Psychology LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2026
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | – | – | Yes |
Practice location
204 W 9th StMedford, OR 97501-3135
Phone 888-556-7282 · Fax 458-203-5051
Mailing address
Po Box 1787Medford, OR 97501-0261
Phone 888-556-7282 · Fax 458-203-5051
Authorized official
Jennifer Mathews
Owner
3147574969
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