ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC NPI 1306894647

NPI Information

  • NPI: 1306894647
  • Provider Name: ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 3144 STATE ST
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 772-9355

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NPI Details

ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC is an endocrinology and diabetes and metabolism internal medicine in Medford, OR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ROGUE ENDOCRINOLOGY AND METABOLIC CLINIC NPI is 1306894647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3144 STATE ST
MEDFORD, OR
ZIP 97504-450
Phone: (541) 772-9355
Fax: (541) 772-6355

The provider's authorized official is Karissa K Stults .
The authorized official title is Operations Manager and has the following contact phone number (541) 773-9772.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 11/13/2007.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R134817MEDICARE PINOREGON

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: 3/30/2025

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