Individual
RAYMOND DIRK SHUMWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1040 CRATER LAKE AVE STE D, MEDFORD, OR 97504-6295
(435) 216-6073
(800) 433-1396
Mailing address
PO BOX 1787, MEDFORD, OR 97501-0261
(541) 500-8655
(800) 433-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
324492-3051
UT
1041C0700X
Clinical Social Worker
Primary
L6433
OR
Other
Enumeration date
11/07/2007
Last updated
12/22/2024
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