Individual
PAIGE CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ERICKSON AVE, SHADY COVE, OR 97539-9758
(541) 816-4415
(541) 816-4416
Mailing address
711 MEDFORD CTR # 264, MEDFORD, OR 97504-6772
(541) 816-4415
(541) 816-4416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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