Individual
MR. DOMINICK ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
107 E MAIN ST STE 6, MEDFORD, OR 97501-6022
(541) 779-1360
(541) 245-6654
Mailing address
2373 STONEFIELD WAY, MEDFORD, OR 97501-1890
(541) 779-1360
(541) 245-6654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
01/24/2011
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