Individual
ROBERT LEWIS NUTTING,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LMT
Contact information
Practice address
D'ANJOU BUILDING (NOT A MAILIING ADDRESS), 328 SOUTH CENTRAL AVENUE, MEDFORD, OR 97501
(541) 500-8655
Mailing address
PO BOX 302, MURPHY, OR 97533-0302
(541) 500-8655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5127
OR
225700000X
Massage Therapist
13466
OR
Other
Enumeration date
06/13/2007
Last updated
01/29/2025
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