institution
Pediatric Tlc Pc
Pediatric Nurse Practitioner in Grants Pass, Oregon
NPI 1548930464

Pediatric Tlc Pc is a Pediatric Nurse Practitioner based in Grants Pass, OR and is specialized in Pediatrics. Pediatric Tlc Pc practices in Grants Pass, OR. The NPI Number for Pediatric Tlc Pc is 1548930464 and holds a License No. (Oregon).

The current practice location address for Pediatric Tlc Pc is 1819 Nebraska Ave, Grants Pass, OR and can be reached out via phone at 541-479-2411. You can also correspond with Pediatric Tlc Pc through the mailing address at 1819 NEBRASKA AVE, GRANTS PASS, OR - 97527-5701 (mailing address contact number: 541-479-2411).

Location: 1819 Nebraska Ave, Grants Pass, OR, 97527-5701
institution
Provider Profile Details
NPI Number
1548930464
Provider Name
Pediatric Tlc Pc
Credential
Provider Entity Type
Organization
Address
1819 Nebraska Ave, Grants Pass, OR, 97527-5701
Phone Number
541-479-2411
Fax Number
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1819 Nebraska Ave
City
State
Zip
97527-5701
Phone Number
541-479-2411
Fax Number
person
Provider Business Mailing Address Details
Address
1819 Nebraska Ave
City
State
Zip
97527-5701
Phone Number
541-479-2411
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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