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Individual

DR. MICHAEL STEPHEN SAFKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
777 NE 7TH ST, GRANTS PASS, OR 97526-1632
(541) 471-8840
Mailing address
777 NE 7TH ST, GRANTS PASS, OR 97526-1632
(541) 471-8840

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1870
OR
103TC0700X
Clinical Psychologist
Primary
1870
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1870
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231818
OR
Enumeration date
04/07/2008
Last updated
02/19/2013
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