Rogue Psych Consultants
Psychologist in Ashland, OR. Organization (NPI-2).
NPI number1164094124
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1164094124
- Entity type
- Organization (NPI-2)
- Legal business name
- Rogue Psych Consultants
- Organization subpart
- No
- Enumeration date
- Jul 10, 2021
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
785 Walker AveAshland, OR 97520-3439
Phone 503-453-0269 · Fax 800-433-1396
Mailing address
Po Box 1787Medford, OR 97501-0261
Phone 541-500-8655 · Fax 800-433-1396
Authorized official
Evan Alvord
Owner
5034530269
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