Individual
CAITLIN ROSE FEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1100 E MAIN ST, MEDFORD, OR 97504-7458
(541) 261-4146
Mailing address
1100 E MAIN ST, MEDFORD, OR 97504-7458
(541) 261-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15835
OR
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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