Individual
KEVIN NICKELS HOEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCW
Contact information
Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 494-3820
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16976
OR
Other
Enumeration date
10/17/2014
Last updated
11/05/2025
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