Individual
MR. ROBERT C SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MDIV, MA, LPC
Contact information
Practice address
18 PORTLAND AVE, MEDFORD, OR 97504-7309
(541) 857-0873
(541) 245-1530
Mailing address
18 PORTLAND AVE, MEDFORD, OR 97504-7309
(541) 857-0873
(541) 245-1530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3047
OR
Other
Enumeration date
01/11/2013
Last updated
08/16/2025
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