SOUTHERN OREGON WELLNESS CLINIC, LLC is a primary care clinic center in Medford, OR. SOUTHERN OREGON WELLNESS CLINIC, LLC NPI is 1538446315. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Oregon Medical Clinic.
The provider's business location address is:
2921 DOCTORS PARK DR STE B
MEDFORD, OR
ZIP 97504-127
Phone: (541) 200-2263
Fax: (541) 973-2835
The provider's authorized official is Eric Reed .
The authorized official title is Owner and has the following contact phone number (541) 200-2242.
The CLIA number assigned to this NPI record is 38D1103748 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/8/2011 and was last updated on 8/26/2021.