Individual
JESUS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-7771
Mailing address
681 FAIR OAKS AVE, ASHLAND, OR 97520-9161
(541) 841-9225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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