Stumbo, James Sidney

Stumbo, James Sidney is an individual health care provider with primary practice located at 3550 National Dr , Medford OR 97504-4148. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Stumbo, James Sidney can be contacted via phone (541) 613-6667.

Contact Information

Primary practice address
3550 National Dr Medford OR 97504-4148
Phone: (541) 613-6667
Fax: (503) 419-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0192 Oregon

Profile Details

NPI number 1831309301
LBN Legal business name Stumbo, James Sidney
Credentials PH.D., LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831309301 NPPES
Oregon MEDICAID 500698785

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