Individual
MR. MICHAEL B HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 CRATER LAKE AVE STE 26, MEDFORD, OR 97504-7445
(541) 414-7257
(541) 326-0123
Mailing address
10 CRATER LAKE AVE STE 26, MEDFORD, OR 97504-7445
(541) 414-7257
(541) 326-0123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4371
OR
Other
Enumeration date
11/28/2011
Last updated
04/26/2019
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