Benjamin Matthew Bryan, LCSW

Clinical Social Worker · Medford, OR

Individual Active NPI

NPI number 1306912324

Practice location

200 Beatty St
Medford, OR 97501-5811
Phone
(541) 476-2373

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NPI record

NPI
1306912324
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
February 7, 2024
Certified
February 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X L5304 OR

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone
(541) 476-2373
Fax
(541) 774-7979

About Benjamin Bryan

Benjamin Matthew Bryan, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 200 Beatty St, Medford, OR 97501-5811. The NPI number 1306912324 was assigned on November 28, 2006 and the record was last updated on February 7, 2024.

Benjamin Bryan lists a license in the registry: #L5304 (OR) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Matthew Bryan, LCSW?

The NPI number is 1306912324.

What is the phone number of Benjamin Bryan?

The phone number listed for the practice location is (541) 476-2373.

Where is Benjamin Bryan located?

200 Beatty St, Medford, OR 97501-5811.

What is the taxonomy code for Benjamin Bryan?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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