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Individual

VICTOR KLODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
201 W MAIN ST, SUITE 1B, MEDFORD, OR 97501-2744
(541) 261-2172
Mailing address
4020 CLAYTON RD, ASHLAND, OR 97520-9733
(541) 482-9452

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1384
OR

Other

Enumeration date
02/28/2007
Last updated
12/05/2016
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