Organization · Type 2 NPI

Siskiyou Vital Medicine LLC

Primary Care Clinic/Center · Medford, OR

NPI number 1407442338 Active

Practice location

940 Ellendale Dr # 102
Medford, OR 97504-8216

Call (541) 210-5687 Map

Fax (541) 392-4962

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Infusion Therapy Clinic/Center 261QI0500XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

Other primary care clinic/center providers in Medford

See all in Medford →

About NPI 1407442338

Siskiyou Vital Medicine LLC's National Provider Identifier is 1407442338, issued on Dec 15, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Medford, OR. The record was last updated on Dec 15, 2020.