County Of Jackson
Specialty details in registry · Medford, OR
At a glance
140 S Holly Street, Medford, OR 97501-3113
NPPES record updated Jun 11, 2024. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
140 S Holly StreetMedford, OR 97501-3113
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251K00000X
- Enumeration date
- Jun 11, 2024
- Record updated
- Jun 11, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251K00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
140 S Holly StreetMedford, OR 97501-3113
- Phone
- (541) 774-8218
- Fax
- (541) 774-7964
Mailing address
140 S HOLLY STREETMEDFORD, OR 975013113
Information may be outdated or incomplete.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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