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Autumn Mccuien

NPI 1417447087 · on the registry since 2018 · sole proprietor

Practice

Address
1148 Stanford Ave
Medford, OR 97504
Phone
(949) 300-0785
Organisation at this address
Southern Oregon Behavioral Wellness Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon