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Mr. Paul Daniel Fickes, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Medford, Oregon
NPI 1710487897

Paul Daniel Fickes is a Psychiatric/Mental Health Nurse Practitioner based in Medford, OR and is specialized in Psychiatric/Mental Health. Paul Daniel Fickes practices in Medford, OR and has the professional credentials of PMHNP-BC. The NPI Number for Paul Daniel Fickes is 1710487897 and holds a License No. 201805705NP-PP (Oregon).

The current practice location address for Paul Daniel Fickes is 724 S Central Ave Ste 101, Medford, OR and can be reached out via phone at 541-789-4222.

Location: 724 S Central Ave Ste 101, Medford, OR, 97501-7808
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Provider Profile Details
NPI Number
1710487897
Provider Name
Paul Daniel Fickes
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
724 S Central Ave Ste 101, Medford, OR, 97501-7808
Phone Number
541-789-4222
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201805705NP-PP 01 OR OREGON STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
724 S Central Ave Ste 101
City
State
Zip
97501-7808
Phone Number
541-789-4222
Fax Number
person
Provider Business Mailing Address Details
Address
724 S Central Ave Ste 101
City
State
Zip
97501-7808
Phone Number
541-789-4222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201805705NP-PP (Oregon)
Definition
Definition to come...
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