Individual
MS. CORIANN RANEA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
713 S RIVERSIDE AVE, MEDFORD, OR 97501-7837
(541) 203-0056
(541) 227-2356
Mailing address
PO BOX 631, MEDFORD, OR 97501-0043
(541) 203-0056
(541) 227-2356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L10456
OR
1041C0700X
Clinical Social Worker
L10456
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500700878
DMAP
OR
Enumeration date
09/17/2013
Last updated
09/05/2025
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