Individual
KIMBERLI LANELLE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 SOUTH HOLLY STREET, MEDFORD, OR 97501
(541) 774-8201
Mailing address
2 HAMILTON STREET, MEDFORD, OR 97501
(541) 690-7475
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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