Individual
MR. MICHAEL JOSEPH ROBERTSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 237-5064
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(514) 237-5067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
11/30/2021
Last updated
10/03/2022
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