Individual
JAN SCOTT GARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3140 JUANIPERO WAY, SUITE 102, MEDFORD, OR 97504-8640
(541) 772-5992
(541) 772-5996
Mailing address
3140 JUANIPERO WAY, SUITE 102, MEDFORD, OR 97504-8640
(541) 772-5992
(541) 772-5996
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
086006628N6
OR
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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