| Siskiyou Vital Medicine Llc | |
|
940 Ellendale Dr # 102 Medford OR 97504-8216 | |
| (541) 210-5687 | |
| (541) 392-4962 |
| Full Name | Siskiyou Vital Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 940 Ellendale Dr # 102, Medford, Oregon |
| Authorized Official Name and Position | Gregory Mcclane Duncan (OWNER/MEMBER) |
| Authorized Official Contact | 5412105687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Vital Medicine Llc 940 Ellendale Dr # 102 Medford OR 97504-8216 Ph: (541) 210-5687 | Siskiyou Vital Medicine Llc 940 Ellendale Dr # 102 Medford OR 97504-8216 Ph: (541) 210-5687 |
| NPI Number | 1407442338 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407442338 | NPI | - | NPPES |
Ups Medford (cdrc - Expansion) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 503-494-9000 | |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |
Pmg Medford Physiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Pmg South Heart Rhythm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 Phone: 541-732-7850 Fax: 541-732-7851 | |
Complete Integrative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-773-5772 Fax: 541-773-1113 | |
La Clinica Acute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 Market St, Medford, OR 97504 Phone: 541-494-3840 Fax: 541-494-1789 |