Organization
BEAR CREEK NATUROPATHICH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY SEAN TICHAUER ND (OWNER/PHYSICIAN)
(541) 770-5563
Entity
Organization
Contact information
Practice address
1012 E JACKSON ST, MEDFORD, OR 97504-7027
(541) 770-5563
(541) 772-3028
Mailing address
1012 E JACKSON ST, MEDFORD, OR 97504-7027
(541) 770-5563
(541) 772-3028
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1324
OR
Other
Enumeration date
06/25/2008
Last updated
08/05/2009
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