Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon
Pediatric Neurodevelopmental & Behavioral Clinic of Southern Oregon is a Community/Behavioral Health Agency in Medford, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
33 N Central Ave Ste 317Medford, OR 97501-5939
Phone: (541) 227-2808
Fax: (541) 227-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1619791415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Jennifer K Boudreaux, Cpnp, Pmhs, LLC |
| Authorized official | Jennifer Boudreaux — Owner/Provider · (541) 324-3648 |
| NPI enumerated | November 9, 2024 |
| Last updated in NPPES | November 9, 2024 |
| Certification date | November 8, 2024 |
| Mailing address | 33 N Central Ave Ste 317, Medford, OR 97501-5939 |
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