Organization
PEAK EXPERIENCE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT BANDOROFF PHD (PRESIDENT)
(541) 951-4329
Entity
Organization
Contact information
Practice address
149 CLEAR CREEK DR, SUITE 102, ASHLAND, OR 97520-1881
(541) 951-4329
Mailing address
552 BEACH ST, ASHLAND, OR 97520-3212
(541) 951-4329
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1120
OR
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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