Organization
ROBERT SKIDMORE PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SKIDMORE LPC (OWNER)
(541) 500-8655
Entity
Organization
Contact information
Practice address
18 PORTLAND AVE, MEDFORD, OR 97504-7309
(541) 500-8655
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722503
—
OR
Enumeration date
12/04/2018
Last updated
12/04/2018
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