Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK DILLON BRAVO, CADC-R

Active

JACK DILLON BRAVO, CADC-R is a Counselor healthcare provider located in MEDFORD, Oregon. NPI 1063399574 is currently active in the NPPES registry. Verify at CMS.

Counselor · MEDFORD, OR

Registration Details

NPI Number: 1063399574
Provider Type: Individual
Gender: Male
NPI Issued: Aug 18, 2025 (0.97447070442574 yrs)
Last Updated: Aug 18, 2025

Practice Information

Address: 300 W MAIN ST

MEDFORD, OR, 975012756
Browse OR providers · Browse ZIP 97501
Phone: 5417721777
Fax: 5417342410
Primary Specialty: Counselor
101Y00000X

Other Counselor Providers in MEDFORD, OR

Name	Credential	NPI
BARBARA J. BLASZAK	M.A. , B.S.W.	1497736086
S. HOPE LINDSAY	LCSW	1053359471
MR. JOEL DON TURGESEN	LPC	1316088610
MR. DOMINICK ROBERTSON	M.S.	1801098298
MR. TRAVIS C TOLL	—	1902094949
EMOKE SPRINKLE	LPC	1821240623

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.