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Siskiyou Vital Medicine Llc
Primary Care Clinic/Center in Medford, Oregon
NPI 1407442338

Siskiyou Vital Medicine Llc is a Primary Care Clinic/Center based in Medford, OR and is specialized in Primary Care. Siskiyou Vital Medicine Llc practices in Medford, OR. The NPI Number for Siskiyou Vital Medicine Llc is 1407442338 and holds a License No. (Oregon).

The current practice location address for Siskiyou Vital Medicine Llc is 940 Ellendale Dr # 102, Medford, OR and can be reached out via phone at 541-210-5687 and via fax at 541-392-4962.

Location: 940 Ellendale Dr # 102, Medford, OR, 97504-8216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407442338
Provider Name
Siskiyou Vital Medicine Llc
Credential
Provider Entity Type
Organization
Address
940 Ellendale Dr # 102, Medford, OR, 97504-8216
Phone Number
541-210-5687
Fax Number
541-392-4962
Provider Enumeration Date
12/15/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
940 Ellendale Dr # 102
City
Medford
State
Oregon
Zip
97504-8216
Phone Number
541-210-5687
Fax Number
541-392-4962
person
Provider Business Mailing Address Details
Address
940 Ellendale Dr # 102
City
Medford
State
Oregon
Zip
97504-8216
Phone Number
541-210-5687
Fax Number
541-392-4962
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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