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Individual

JOHN LOUKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., ABMPP

Contact information

Practice address
2830 PAYNE RD, MEDFORD, OR 97504
(541) 535-7658
Mailing address
2830 PAYNE RD, MEDFORD, OR 97504
(541) 535-7658

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1617
OR
103G00000X
Clinical Neuropsychologist
463
WA
103TC0700X
Clinical Psychologist
Primary
1617
OR
103TC0700X
Clinical Psychologist
463
WA

Other

Enumeration date
07/31/2006
Last updated
09/11/2025
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