Individual
RENEE L DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E MAIN ST STE 108, MEDFORD, OR 97504-7690
(541) 200-1530
(541) 772-0284
Mailing address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
08/15/2019
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