Organization · Type 2 NPI

Southern Oregon Psychiatry, LLC

Psychiatric/Mental Health Nurse Practitioner · Medford, OR

NPI number 1114695962 Active

About NPI 1114695962

Southern Oregon Psychiatry, LLC's National Provider Identifier is 1114695962, issued on Sep 4, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medford, OR. The record was last updated on Sep 10, 2026.