Organization · Type 2 NPI
Southern Oregon Gynecology LLC
Obstetrics & Gynecology Nurse Practitioner · Medford, OR
NPI number
1861293284
Active
Practice location
2850 State St
Medford, OR 97504-8474
Fax (866) 267-6644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | None listed |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1861293284
Southern Oregon Gynecology LLC's National Provider Identifier is 1861293284, issued on Mar 21, 2025. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Medford, OR. The record was last updated on Jun 22, 2026.