Individual
DR. JAMES SIDNEY STUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LMFT
Contact information
Practice address
3550 NATIONAL DR, MEDFORD, OR 97504-4148
(541) 613-6667
(503) 419-4662
Mailing address
PO BOX 503010, WHITE CITY, OR 97503-0813
(541) 234-4781
(503) 419-4662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0192
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500698785
—
OR
Enumeration date
05/23/2007
Last updated
01/10/2019
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