Individual
MR. DAVID C MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 S 4TH ST, CENTRAL POINT, OR 97502-2224
(541) 494-6500
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
L8346
OR
1041S0200X
School Social Worker
L8346
OR
Other
Enumeration date
09/17/2013
Last updated
03/31/2020
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