Organization
ROGUE HOLISTIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORIANN MATTHEWS LCSW (OWNER)
(541) 324-3173
Entity
Organization
Contact information
Practice address
713 S RIVERSIDE AVE, MEDFORD, OR 97501-7837
(541) 203-0055
(541) 227-2356
Mailing address
PO BOX 631, MEDFORD, OR 97501-0043
(541) 203-0055
(541) 227-2356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
10/09/2025
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