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Specialty details in registry · Grants Pass, OR

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At a glance

310 Bushnell Way, Grants Pass, OR 97527-9103

NPPES record updated Mar 26, 2026. Public records can lag behind changes at a practice.

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Practice location

310 Bushnell Way
Grants Pass, OR 97527-9103
Professional details: NPI, taxonomy & registry record
NPI1033597042
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320800000X
Enumeration date
May 11, 2015
Record updated
Mar 26, 2026
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

320800000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

310 Bushnell Way
Grants Pass, OR 97527-9103
Phone
(541) 476-2373
Mailing address
1215 SW G ST

GRANTS PASS, OR 975262544
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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