Organization
ROGUE PSYCH CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN ALVORD PSYCHOLOGIST (OWNER)
(503) 453-0269
Entity
Organization
Contact information
Practice address
785 WALKER AVE, ASHLAND, OR 97520-3439
(503) 453-0269
(800) 433-1396
Mailing address
PO BOX 1787, MEDFORD, OR 97501-0261
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/10/2021
Last updated
04/13/2022
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