Individual
JAMIE LONGWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(760) 792-9271
Mailing address
201 W MAIN ST STE 4E, MEDFORD, OR 97501-2744
(760) 792-9271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
04/29/2025
Last updated
10/08/2025
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