NPI 1265515563

Jennifer W Childers, MD

Practitioner Dermatology Physician Medford, OR

Practice location

Address: 3156 State St, Medford, OR 97504-8450
Phone: (541) 773-9772
Fax: (541) 773-9772

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD17352 (TN)

Other Dermatology providers in Oregon →

Registry record

NPI: 1265515563
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2006
Record last updated: 16 Dec 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.