Individual
MS. ADENA DAY TRYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
132 W MAIN ST STE 103, MEDFORD, OR 97501-2746
(541) 776-0821
(541) 776-5011
Mailing address
132 W MAIN ST STE 103, MEDFORD, OR 97501-2746
(541) 776-0821
(541) 776-5011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3179
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L3179
LICENSE NUMBER
OR
Enumeration date
02/19/2007
Last updated
07/08/2007
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