NPI 1023312972
Stacy D,ann Fountain
Practice location
- Address
- 100e. Main St., Medford, OR 97504
- Phone
- (541) 292-7177
- Mailing address
- 100 E Main St, Medford, OR 97501-6041
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023312972
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jan 2011
- Record last updated
- 7 Jan 2011
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.