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ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY PC NPI 1699908475


NPI Information

NPI: 1699908475
Provider Name: ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
460 MURPHY ROAD
MEDFORD, OR
ZIP 97504
Phone: (541) 776-0050
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ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC is an oral and maxillofacial surgery clinic center in Medford, OR. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ROGUE VALLEY ORAL & MAXILLOFACIAL SURGERY, PC NPI is 1699908475. The provider is registered as an organization entity type.

The provider's business location address is:

460 MURPHY ROAD
MEDFORD, OR
ZIP 97504
Phone: (541) 776-0050
Fax: (541) 776-0062

The provider's authorized official is Michael J. Doherty .
The authorized official title is Surgeon/president and has the following contact phone number (541) 776-0050.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 3/26/2020.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryD9230OREGONYes

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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