MR. ROBERT C SKIDMORE


Address: 18 Portland Ave, Medford, OR 97504-7309
Phone: 5418570873

MR. ROBERT C SKIDMORE (NPI# 1942547906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942547906
Entity Type Individual
Full Name MR. ROBERT C SKIDMORE
Other Name ROBERT ISAAC SKIDMORE
Credential M.DIV, MA, LPC, CADC
Practice Address 18 Portland Ave
Medford
OR 97504-7309
Practice Telephone 5418570873
Practice Fax Number 5412451530
Mailing Telephone 5418570873
Mailing Fax Number 5412451530
Enumeration Date 2013-01-11
Last Update Date 2013-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
C3047 OR Behavioral Health & Social Service Providers

Other Providers ROBERT SKIDMORE

NPI Name Taxonomy Address Enumeration
1245322049 Robert Skidmore Jr. Dermatology 3700 Nw 83rd St, Gainesville, FL 32606-5603 2006-09-29

Office Location

Street Address 18 PORTLAND AVE
City MEDFORD
State OR
Zip Code 97504-7309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447221494 Bernard Leo Legner Marriage & Family Therapist 18 Portland Ave, Medford, OR 97504-7309 2006-01-29
1720558604 Robert Skidmore Phd LLC Counselor 18 Portland Ave, Medford, OR 97504-7309 2018-12-04
1831444611 Robert L. Nutting, LLC Massage Therapist 18 Portland Ave, Medford, OR 97504-7309 2012-07-18
1528355112 Edward James Reed Counselor 18 Portland Ave, Medford, OR 97504-7309 2011-07-01
1831375617 Jeffrey Adam Williamson Counselor 18 Portland Ave, Medford, OR 97504-7309 2008-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457978017 Peaceful Practices Counseling LLC Counselor 520 Stokes Rd Ste A5, Medford, NJ 08055-2904 2020-06-30
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1861998080 Deborah Hritz Counselor 13 Larsen Park Dr, Medford, NJ 08055-8169 2018-04-05
1396112678 Sara Marie Martino Counselor 19 Ohio Trl, Medford, NJ 08055-8931 2015-08-21
1437568417 Angela R Ewing Counselor 33 N Central Ave Ste 400, Medford, OR 97501-5940 2014-08-04
1609200567 Professional Psychology Services Counselor 1 N Main St Ste 1b, Medford, NJ 08055-2445 2013-08-28
1609172717 Lisa N Ortiz Counselor 328 S Central Ave Ste 110, Medford, OR 97501-7274 2011-02-07
1902101066 Susan Desantis Marion Counselor 1005 East Main Street, Jackson County Mental Health, Medford, OR 97504 2011-01-21
1972711042 Mary Catherine Martin Counselor 3550 National Drive, Medford, OR 97504 2007-05-20
1922210020 Jacqueline A Buckmaster Counselor 1016 Court St., Medford, OR 97501 2007-05-03
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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