| Children & Adolescents | |
|
2940 Doctors Park Dr Medford OR 97504-8127 | |
| (541) 282-2208 | |
| (541) 282-2237 |
| Full Name | Children & Adolescents |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2940 Doctors Park Dr, Medford, Oregon |
| Authorized Official Name and Position | Vicki S Wagner (CEO) |
| Authorized Official Contact | 5412822208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children & Adolescents 2900 Doctors Park Dr Medford OR 97504-8127 Ph: (541) 282-2208 | Children & Adolescents 2940 Doctors Park Dr Medford OR 97504-8127 Ph: (541) 282-2208 |
| NPI Number | 1881811842 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881811842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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