Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Robert Neill Divine, BA

Individual provider Case Manager/Care Coordinator · NPI 1366734949

Robert Neill Divine, BA is a Case Manager/Care Coordinator in Medford, Oregon. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

140 S Holly St
Medford, OR 97501 Not confirmed with CMS for 11 years — call before visiting
Phone: (541) 774-8200
Fax: (541) 774-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1366734949
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedMay 13, 2011
Last updated in NPPESDecember 19, 2014

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