Individual provider · Type 1 NPI
Fallon N. Polich
Family Nurse Practitioner · Ashland, OR
NPI number
1386311157
Active
Practice location
590 Allison St
Ashland, OR 97520-2910
Other practice locations
- 2825 E Barnett Rd, Medford, OR 97504-8332 · (541) 789-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 201909188RN (OR) |
| Family Nurse Practitioner Primary | 363LF0000X | 202110122NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386311157
Fallon N. Polich's National Provider Identifier is 1386311157, issued on Aug 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ashland, OR. The record was last updated on Nov 5, 2021.