Whalio Doctors

NPI 1366449662

Medford Medical Clinic, LLP

Organisation Family Medicine Physician Medford, OR

Practice location

Address
555 Black Oak Dr Suite 100, Medford, OR 97504-8447
Phone
(541) 734-3430
Fax
(541) 734-3666
Mailing address
PO Box 7841, Belfast, ME 04915-7800

Authorised official

Name
Jon Kane Vanvalkenburg
Title
Partner
Phone
(541) 734-3430

Registered specialties (4)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD21703 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1366449662
Entity type
Organization
NPI issued
30 Jun 2005
Record last updated
6 May 2014

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.