Southern Oregon Medical Practice Llc

LBN: Southern Oregon Medical Practice Llc
Southern Oregon Medical Practice Llc is an health care organization with primary practice located at 824 Unit B, Rogue River Highway , Grants Pass OR 97527-0000. 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. Southern Oregon Medical Practice Llc can be contacted via phone (541) 244-1261, or through Spalletta, Stephen Daniel via phone (541) 295-4034.

Contact Information

Primary practice address
824 Unit B, Rogue River Highway Grants Pass OR 97527-0000
Phone: (541) 244-1261
Fax: (541) 295-8252
Website:
Map and Directions
Authorized official contact:
Name: Spalletta, Stephen Daniel
Phone: (541) 295-4034

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1174571186 Oregon

Profile Details

NPI number 1184000549
LBN Legal business name Southern Oregon Medical Practice Llc
DBA Doing business as
Authorized official Spalletta, Stephen Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2015
Last updated Aug 7th, 2015 - about 11 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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