Search › Oregon › 103T00000X
John Gram, PSY.D
NPI 1477630689 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1175 E Main St Ste 2d
Medford, OR 97504 - Phone
- (541) 772-7010
- Fax
- (541) 205-4251
- Organisation at this address
- Wellness 2000 Inc.
Nibbus Combined Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-09
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