| Rogue Valley Manor Clinic | |
|
1200 Mira Mar Ave Medford OR 97504-8546 | |
| (541) 857-7133 | |
| (541) 857-7594 |
| Full Name | Rogue Valley Manor Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Mira Mar Ave, Medford, Oregon |
| Authorized Official Name and Position | Sarah E Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5415877133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Valley Manor Clinic 1208 Beall Ln Central Point OR 97502-1573 Ph: (541) 857-7133 | Rogue Valley Manor Clinic 1200 Mira Mar Ave Medford OR 97504-8546 Ph: (541) 857-7133 |
| NPI Number | 1780634808 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780634808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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