NPI 1043286636

Mary Adrienne Fansler, LCSW

Practitioner Clinical Social Worker Medford, OR

Practice location

Address: 1237 N Riverside Ave Suite 229, Medford, OR 97501
Phone: (541) 500-8655
Mailing address: PO Box 1787, Medford, OR 97501-0261

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence L2117 (OR)

Other Social Worker providers in Oregon →

Registry record

NPI: 1043286636
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2006
Record last updated: 31 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.