Individual provider · Type 1 NPI

Ryan Nathaniel Kirk

Mental Health Counselor · Medford, OR

NPI number 1487571790 Active

Practice location

850 Swing Ln Unit 1
Medford, OR 97501-1790

Fax (541) 622-8593

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487571790

Ryan Nathaniel Kirk's National Provider Identifier is 1487571790, issued on Jun 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jun 30, 2026.