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Individual

CHLOE BURTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3140 JUANIPERO WAY STE 101, MEDFORD, OR 97504-8647
(541) 323-4800
Mailing address
122 ASHLEY LN, HIRAM, GA 30141-4220

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
251B00000X
Case Management Agency

Other

Enumeration date
07/08/2025
Last updated
07/08/2025
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