Individual
ALEXEEV JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 JUANIPERO WAY, MEDFORD, OR 97504-8580
(541) 816-4131
(458) 226-2163
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
05/19/2020
Last updated
05/10/2022
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