| Professional Medical Services At Medford | |
|
2825 E Barnett Rd Medford OR 97504-8332 | |
| (541) 789-5220 | |
| Not Available |
| Full Name | Professional Medical Services At Medford |
|---|---|
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 2825 E Barnett Rd, Medford, Oregon |
| Authorized Official Name and Position | David Crawford (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5034949616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Services At Medford 2241 Lloyd Center Portland OR 97232-1315 Ph: (503) 494-8417 | Professional Medical Services At Medford 2825 E Barnett Rd Medford OR 97504-8332 Ph: (541) 789-5220 |
| NPI Number | 1366628794 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366628794 | NPI | - | NPPES |
| 7119944 | Medicaid | WA | |
| 227631 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |
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