institution
Southern Oregon Aesthetics And Wellness, Llc
Family Nurse Practitioner in Central Point, Oregon
NPI 1174920789

Southern Oregon Aesthetics And Wellness, Llc is a Family Nurse Practitioner based in Central Point, OR and is specialized in Family. Southern Oregon Aesthetics And Wellness, Llc practices in Central Point, OR. The NPI Number for Southern Oregon Aesthetics And Wellness, Llc is 1174920789 and holds a License No. 200850143NP (Oregon).

The current practice location address for Southern Oregon Aesthetics And Wellness, Llc is 5005 Tolo Rd, Central Point, OR and can be reached out via phone at 760-731-0313 and via fax at 760-731-0414.

Location: 5005 Tolo Rd, Central Point, OR, 97502-9335
institution
Provider Profile Details
NPI Number
1174920789
Provider Name
Southern Oregon Aesthetics And Wellness, Llc
Credential
Provider Entity Type
Organization
Address
5005 Tolo Rd, Central Point, OR, 97502-9335
Phone Number
760-731-0313
Fax Number
760-731-0414
Provider Enumeration Date
11/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
098000578RN 01 OR RN FIRST ASSISTANT
institution
Provider Business Practice Location Address Details
Address
5005 Tolo Rd
City
State
Zip
97502-9335
Phone Number
760-731-0313
Fax Number
760-731-0414
person
Provider Business Mailing Address Details
Address
5005 Tolo Rd
City
State
Zip
97502-9335
Phone Number
760-731-0313
Fax Number
760-731-0414
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200850143NP (Oregon)
Definition
Definition to come...
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