Individual
DR. JOHN MICHAEL GRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1175 E MAIN ST STE 2D, MEDFORD, OR 97504-7457
(541) 772-7010
(541) 205-4251
Mailing address
980 SW 6TH ST STE 18, GRANTS PASS, OR 97526-2910
(541) 471-7010
(541) 471-8841
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
975
OR
Other
Enumeration date
11/01/2006
Last updated
12/09/2019
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