River Rock Family Practice Pc

LBN: River Rock Family Practice Pc
River Rock Family Practice Pc is an health care organization with primary practice located at 3144 State St , Medford OR 97504-8450. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. River Rock Family Practice Pc can be contacted via phone (541) 226-9840, or through Harrison, Tammy via phone (541) 226-9840.

Contact Information

Primary practice address
3144 State St Medford OR 97504-8450
Phone: (541) 226-9840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Tammy
Phone: (541) 226-9840

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1053957225
LBN Legal business name River Rock Family Practice Pc
DBA Doing business as
Authorized official Harrison, Tammy
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2019
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053957225 NPPES
Oregon Other 026845 DMAP
Oregon Other 200550153NP DMAP
Oregon Other 1356355846 DMAP

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