Individual
BERNARD HUKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(458) 229-1530
Mailing address
1017 NW C ST APT B, GRANTS PASS, OR 97526-1765
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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