Individual
STORMI ELIZABETH BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 LA LOMA DR, MEDFORD, OR 97504-8613
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
09/16/2021
Last updated
12/23/2024
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