Overview
Name: EDEN PRACTITIONERS LLC
Specialty: Substance Use Disorder Rehabilitation Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: EDEN PRACTITIONERS LLC,843 E MAIN ST STE 204,MEDFORD,OR,975047137,US
Mailing Address: EDEN PRACTITIONERS LLC,843 E MAIN ST STE 204,MEDFORD,OR,975047137,US
Contact #
Practice location phone #: 5413290478
Practice location fax #: 5413149556
Mailing address Phone #: 5413290478
Mailing Address fax #: 5413149556
Authorized official Name/Telephone #:DR., DANE, FICKES, OWNER 5413290478
Misc
Date NPI was obtained: 08/20/2021
Last data data was updated: 08/20/2021
Insurances: