institution
River Rock Family Practice Pc
Family Nurse Practitioner in Medford, Oregon
NPI 1053957225

River Rock Family Practice Pc is a Family Nurse Practitioner based in Medford, OR and is specialized in Family. River Rock Family Practice Pc practices in Medford, OR. The NPI Number for River Rock Family Practice Pc is 1053957225 and holds a License No. (Oregon).

The current practice location address for River Rock Family Practice Pc is 3144 State St, Medford, OR and can be reached out via phone at 541-226-9840.

Location: 3144 State St, Medford, OR, 97504-8450
institution
Provider Profile Details
NPI Number
1053957225
Provider Name
River Rock Family Practice Pc
Credential
Provider Entity Type
Organization
Address
3144 State St, Medford, OR, 97504-8450
Phone Number
541-226-9840
Fax Number
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026845 01 OR DMAP
200550153NP 01 OR FNPC
1356355846 01 OR NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
3144 State St
City
State
Zip
97504-8450
Phone Number
541-226-9840
Fax Number
person
Provider Business Mailing Address Details
Address
3144 State St
City
State
Zip
97504-8450
Phone Number
541-226-9840
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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