Individual
DARRIN KAYE PLANTENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 LONE PINE RD, MEDFORD, OR 97504-5637
(551) 779-2003
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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