institution
River Rock Family Practice Pc
Family Nurse Practitioner in Grants Pass, Oregon
NPI 1184052136

River Rock Family Practice Pc is a Family Nurse Practitioner based in Grants Pass, OR and is specialized in Family. River Rock Family Practice Pc practices in Grants Pass, OR. The NPI Number for River Rock Family Practice Pc is 1184052136 and holds a License No. 200550153NP (Oregon).

The current practice location address for River Rock Family Practice Pc is 1833 Nebraska Ave, Grants Pass, OR and can be reached out via phone at 541-621-4736. You can also correspond with River Rock Family Practice Pc through the mailing address at 1833 NEBRASKA AVE, GRANTS PASS, OR - 97527-5701 (mailing address contact number: 541-226-9840).

Location: 1833 Nebraska Ave, Grants Pass, OR, 97527-5701
institution
Provider Profile Details
NPI Number
1184052136
Provider Name
River Rock Family Practice Pc
Credential
Provider Entity Type
Organization
Address
1833 Nebraska Ave, Grants Pass, OR, 97527-5701
Phone Number
541-621-4736
Fax Number
Provider Enumeration Date
10/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200550153NP 01 OR FNPC
026845 01 DMAP
1356355846 01 NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1833 Nebraska Ave
City
State
Zip
97527-5701
Phone Number
541-621-4736
Fax Number
person
Provider Business Mailing Address Details
Address
1833 Nebraska Ave
City
State
Zip
97527-5701
Phone Number
541-621-4736
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200550153NP (Oregon)
Definition
Definition to come...
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