| Cascade Family Practice, Llc | |
|
21 Hawthorne St Medford OR 97504-7113 | |
| (541) 203-7558 | |
| (541) 690-1234 |
| Full Name | Cascade Family Practice, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 21 Hawthorne St, Medford, Oregon |
| Authorized Official Name and Position | Deborah Boles (OWNER) |
| Authorized Official Contact | 5418403633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Practice, Llc 21 Hawthorne St Medford OR 97504-7113 Ph: (541) 203-7558 | Cascade Family Practice, Llc 21 Hawthorne St Medford OR 97504-7113 Ph: (541) 203-7558 |
| NPI Number | 1538667662 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538667662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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