Individual
RICHARD KLINGENSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
02/23/2016
Last updated
01/14/2026
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