Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK OPGENORTH, L.C.S.W.
Active Sole ProprietorMR. JACK OPGENORTH, L.C.S.W. is a Clinical Social Worker healthcare provider located in MEDFORD, Oregon. NPI 1376679969 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MEDFORD, OR
Registration Details
- NPI Number
- 1376679969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.438107509941 yrs)
- Last Updated
- Feb 11, 2016
- License
-
L2954 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1744 E MCANDREWS RDSUITE BMEDFORD, OR, 97504Browse OR providers · Browse ZIP 97504
- Phone
- 5417760821
- Fax
- 5417765011
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. ELLEN H WEILAND | L.C.S.W. | 1922005693 |
| ATHENA WIND GOLDBERG | — | 1679554463 |
| LAURA N HEESACKER | LCSW | 1205818580 |
| MR. RICHARD CARTER RAWLINS | LCSW | 1083699011 |
| MS. JULIA ANGELINA TERRY | LCSW | 1588641286 |
| MR. RAWLAND D GLASS | MSW LCSW | 1730153651 |
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.