Individual
MRS. KATHLEEN MARIE VANDEVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSM, MBA
Contact information
Practice address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(541) 281-9026
(541) 635-2087
Mailing address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(541) 281-9026
(541) 635-2087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/14/2025
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