MS. IVY MEDOW, COTA/L, CRC

Counselor

Active Individual
NPI: 1972881266

Practice Address

1657 36TH ST
Florence, OR 97439

Phone: (480) 837-4565

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes C-6670 (OR)
Massage Therapist 225700000X No 25705 (OR)

Frequently Asked Questions

NPI 1972881266 is the National Provider Identifier for MS. IVY MEDOW, COTA/L, CRC, a Counselor provider located in Florence, OR. This NPI was enumerated on August 3, 2011.
MS. IVY MEDOW, COTA/L, CRC practices at 1657 36TH ST, Florence, OR 97439.

Quick Facts

NPI
1972881266
Type
Individual
Enumerated
Aug 3, 2011
Last Updated
Oct 16, 2025

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