SISKIYOU VITAL MEDICINE LLC is a primary care clinic center in Medford, OR. SISKIYOU VITAL MEDICINE LLC NPI is 1407442338. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
940 ELLENDALE DR # 102
MEDFORD, OR
ZIP 97504-216
Phone: (541) 210-5687
Fax: (541) 392-4962
The provider's authorized official is Gregory Mcclane Duncan .
The authorized official title is Owner/member and has the following contact phone number (541) 210-5687.
The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.