Organization
ROGUE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JAMISON LPC (OWNER)
(541) 727-1664
Entity
Organization
Contact information
Practice address
328 S CENTRAL AVE STE 213, MEDFORD, OR 97501-7274
(541) 272-1664
(800) 433-1396
Mailing address
PO BOX 4752, MEDFORD, OR 97501-0197
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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