Individual provider · Type 1 NPI

Jesse Robertson

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1114880481 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-CRM-5042 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114880481

Jesse Robertson's National Provider Identifier is 1114880481, issued on Dec 4, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2026.