NPI 1003578907

Evergreen Regenerative Medicine and Rehabilitation PC

Organisation Physical Medicine & Rehabilitation Physician Medford, OR

Practice location

Address: 707 Murphy Rd, Medford, OR 97504-8520
Phone: (541) 414-0455
Fax: (541) 414-0450
Mailing address: 707 Murphy Rd STE 101, Medford, OR 97504-8520

Authorised official

Name: David E Harris
Title: President/Owner
Phone: (541) 414-0455

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1003578907
Entity type: Organization
NPI issued: 7 Oct 2021
Record last updated: 5 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.