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Landon Masterfield, PA-C
Student in an Organized Health Care Education/Training Program in Medford, Oregon
NPI 1861802944

Landon Masterfield is a Student in an Organized Health Care Education/Training Program based in Medford, OR. Landon Masterfield practices in Medford, OR and has the professional credentials of PA-C. The NPI Number for Landon Masterfield is 1861802944 and holds a License No. PA174776 (Oregon).

The current practice location address for Landon Masterfield is 1111 Crater Lake Ave, Medford, OR and can be reached out via phone at 503-732-6914.

Location: 1111 Crater Lake Ave, Medford, OR, 97504-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861802944
Provider Name
Landon Masterfield
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1111 Crater Lake Ave, Medford, OR, 97504-6241
Phone Number
503-732-6914
Fax Number
Provider Enumeration Date
04/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-6241
Phone Number
503-732-6914
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Crater Lake Ave
City
Medford
State
Oregon
Zip
97504-6241
Phone Number
503-732-6914
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PA174776 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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