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Individual

DILLON H LARKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1280 BARTON RD, EAGLE POINT, OR 97524-4407
(541) 830-6617
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
23-QMHP-R-2326
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-22-1847
OR

Other

Enumeration date
02/18/2022
Last updated
09/28/2023
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