Individual
RON J KIRKEGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.F.T.
Contact information
Practice address
1316 W MAIN ST, MEDFORD, OR 97501-2937
(541) 245-2787
Mailing address
1316 W MAIN ST, MEDFORD, OR 97501-2937
(541) 245-2787
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0592
OR
Other
Enumeration date
09/26/2008
Last updated
07/26/2011
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