Individual
ROBIN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S IVY ST, MEDFORD, OR 97501
(541) 973-2235
(541) 734-2410
Mailing address
301 S IVY ST, MEDFORD, OR 97501
(541) 973-2235
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
08/03/2018
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