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1275244121

NPI Code Detail

MEDICARE: ZEV RAEL MACGREGOR

MEDICARE: ZEV RAEL MACGREGOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1275244121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEV RAEL MACGREGOR

Provider Business Mailing Address
First Line	:	3587 HEATHROW WAY
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-4004
Country	:	US
Telephone Number	:	541-858-8170
Fax Number	:	541-858-8167

Provider Business Practice Location Address
First Line	:	1675 ASHLAND ST
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-2472
Country	:	US
Telephone Number	:	541-858-8170
Fax Number	:	541-858-8167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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Directions to “ ZEV RAEL MACGREGOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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