Individual
MARTHA MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 273-0927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1903
OR
Other
Enumeration date
12/01/2010
Last updated
02/25/2016
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