| Soam Medical & Wellness | |
|
801 E Main St Ste 100 Medford OR 97504-7169 | |
| (541) 779-5235 | |
| Not Available |
| Full Name | Soam Medical & Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 801 E Main St Ste 100, Medford, Oregon |
| Authorized Official Name and Position | Brent M Kenyon (OWNER) |
| Authorized Official Contact | 5412916910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soam Medical & Wellness 801 E Main St Ste 100 Medford OR 97504-7169 Ph: (541) 779-5235 | Soam Medical & Wellness 801 E Main St Ste 100 Medford OR 97504-7169 Ph: (541) 779-5235 |
| NPI Number | 1922848357 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922848357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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