Individual
MEGAN LAURAINE SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 10TH ST, KLAMATH FALLS, OR 97601-5803
(541) 591-2680
Mailing address
4135 ALTAMONT DR, KLAMATH FALLS, OR 97603-7270
(541) 591-0328
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
113435
OR
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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