institution
Southern Oregon Medical Practice Llc
Family Nurse Practitioner in Grants Pass, Oregon
NPI 1184000549

Southern Oregon Medical Practice Llc is a Family Nurse Practitioner based in Grants Pass, OR and is specialized in Family. Southern Oregon Medical Practice Llc practices in Grants Pass, OR. The NPI Number for Southern Oregon Medical Practice Llc is 1184000549 and holds a License No. 1174571186 (Oregon).

The current practice location address for Southern Oregon Medical Practice Llc is 824 Unit B, Rogue River Highway, Grants Pass, OR and can be reached out via phone at 541-244-1261 and via fax at 541-295-8252.

Location: 824 Unit B, Rogue River Highway, Grants Pass, OR, 97528-0213
institution
Provider Profile Details
NPI Number
1184000549
Provider Name
Southern Oregon Medical Practice Llc
Credential
Provider Entity Type
Organization
Address
824 Unit B, Rogue River Highway, Grants Pass, OR, 97528-0213
Phone Number
541-244-1261
Fax Number
541-295-8252
Provider Enumeration Date
08/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
824 Unit B, Rogue River Highway
City
State
Zip
97527-0000
Phone Number
541-244-1261
Fax Number
541-295-8252
person
Provider Business Mailing Address Details
Address
824 Unit B, Rogue River Highway
City
State
Zip
97527-0000
Phone Number
541-244-1261
Fax Number
541-295-8252
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1174571186 (Oregon)
Definition
Definition to come...
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