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Julie A Conley-rucker
Peer Specialist in Medford, Oregon
NPI 1689186546

Julie A Conley-rucker is a Peer Specialist based in Medford, OR. Julie A Conley-rucker practices in Medford, OR. The NPI Number for Julie A Conley-rucker is 1689186546 and holds a License No. 17-CRM-197 (Oregon).

The current practice location address for Julie A Conley-rucker is 1025 E Main St, Medford, OR and can be reached out via phone at 541-779-1282 and via fax at 541-608-2888.

Location: 1025 E Main St, Medford, OR, 97504-7140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689186546
Provider Name
Julie A Conley-rucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1025 E Main St, Medford, OR, 97504-7140
Phone Number
541-779-1282
Fax Number
541-608-2888
Provider Enumeration Date
11/01/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 E Main St
City
Medford
State
Oregon
Zip
97504-7448
Phone Number
541-779-1282
Fax Number
541-608-2888
person
Provider Business Mailing Address Details
Address
1025 E Main St
City
Medford
State
Oregon
Zip
97504-7448
Phone Number
541-779-1282
Fax Number
541-608-2888
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
17-CRM-197 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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