Individual
JASON JOHN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 HITCHING POST RD, GRANTS PASS, OR 97526-9710
(541) 237-5067
Mailing address
3874 CREEK VIEW DR, MEDFORD, OR 97504-8911
(541) 450-8153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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