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OREGON INTERNAL MEDICINE LLC. NPI 1265745541


NPI Information

NPI: 1265745541
Provider Name: OREGON INTERNAL MEDICINE, LLC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 38D2057782

Address:
2380 W MAIN ST
SUITE, A
MEDFORD, OR
ZIP 97501
Phone: (541) 858-7183
Get Directions

OREGON INTERNAL MEDICINE, LLC. is a clinic center in Medford, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OREGON INTERNAL MEDICINE, LLC. NPI is 1265745541. The provider is registered as an organization entity type.

The provider's business location address is:

2380 W MAIN ST
SUITE, A
MEDFORD, OR
ZIP 97501-390
Phone: (541) 858-7183

The provider's authorized official is Gregory Scott Grunwald .
The authorized official title is Manager and has the following contact phone number (541) 858-7183.

The CLIA number assigned to this NPI record is 38D2057782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2010 and was last updated on 9/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterDO22277OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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