THERAPEUTIC LASER CENTER NPI 1821096033

NPI Information

NPI: 1821096033
Provider Name: THERAPEUTIC LASER CENTER
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
115 W STEWART AVE
MEDFORD, OR
ZIP 97501
Phone: (541) 772-7007
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THERAPEUTIC LASER CENTER is a rehabilitation clinic center in Medford, OR. THERAPEUTIC LASER CENTER NPI is 1821096033. The provider is registered as an organization entity type.

The provider's business location address is:

115 W STEWART AVE
MEDFORD, OR
ZIP 97501-607
Phone: (541) 772-7007
Fax: (541) 772-7771

The provider's authorized official is Mary Anne Crandall .
The authorized official title is Doctor Of Natural Science, and has the following contact phone number (541) 772-7007.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/22/2020.

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
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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

NPI Synchronization or Removal

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