Organization · Type 2 NPI

Southern Oregon Medical Practice LLC

Family Nurse Practitioner · Grants Pass, OR

NPI number 1184000549 Active

Practice location

824 Unit B, Rogue River Highway
Grants Pass, OR 97527-0000

Call (541) 244-1261 Map

Fax (541) 295-8252

Mailing address

PO Box 2552
Grants Pass, OR 97528-0213

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1174571186 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1184000549

Southern Oregon Medical Practice LLC's National Provider Identifier is 1184000549, issued on Aug 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants Pass, OR. The record was last updated on Aug 7, 2015.