Broderick R States is a mental health counselor in Medford, OR. Broderick R States NPI is 1073178794. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3200 JUANIPERO WAY
MEDFORD, OR
ZIP 97504
Phone: (541) 816-4131
Fax: (458) 226-2163
The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.