Individual
DONALD BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 SWING LN UNIT 1, MEDFORD, OR 97501-1790
(541) 622-8593
(541) 622-8593
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
09/20/2023
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