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Organization
ROBERT L. NUTTING, LLC
Active
Organization
ROBERT L. NUTTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEWIS NUTTING MSW, LCSW, LMT (BUSINESS OWNER)
(541) 660-5714
Entity
Organization
Contact information
Practice address
18 PORTLAND AVE, MEDFORD, OR 97504-7309
(541) 660-5714
(541) 245-1530
Mailing address
PO BOX 2303, WHITE CITY, OR 97503
(541) 660-5714
(541) 245-1530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/18/2012
Last updated
08/29/2014
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