Individual
MS. ARDATH A MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, LCSW
Contact information
Practice address
905 MAIN ST STE 602, KLAMATH FALLS, OR 97601-5842
(541) 500-8655
(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
1041C0700X
Clinical Social Worker
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170061
—
OR
Enumeration date
01/08/2009
Last updated
01/29/2025
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