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Organization

MD CLINICAL HOLDINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY DONOVAN (MANAGING MEMBER)
(360) 909-7442
Entity
Organization

Contact information

Practice address
891 OHARE PKWY, MEDFORD, OR 97504-4005
(360) 909-7442
Mailing address
891 OHARE PKWY, MEDFORD, OR 97504-4005

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TC2200X
Clinical Child & Adolescent Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1041C0700X
Clinical Social Worker
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
2251P0200X
Pediatric Physical Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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