Individual
RYAN JAMES EBERSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2265 ASHLAND ST, ASHLAND, OR 97520-1490
(541) 830-1350
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 773-3863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L12747
OR
1041C0700X
Clinical Social Worker
P012875
NC
Other
Enumeration date
07/09/2020
Last updated
11/15/2024
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