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ROGUE VALLEY UROLOGY PC NPI 1467421404


NPI Information

NPI: 1467421404
Provider Name: ROGUE VALLEY UROLOGY, PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 38D0979253

Address:
1698 EAST MCANDREWS RD
STE 280
MEDFORD, OR
ZIP 97504
Phone: (541) 774-5808
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ROGUE VALLEY UROLOGY, PC is an urology in Medford, OR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ROGUE VALLEY UROLOGY, PC NPI is 1467421404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1698 EAST MCANDREWS RD
STE 280
MEDFORD, OR
ZIP 97504
Phone: (541) 774-5808
Fax: (541) 732-3910

The provider's authorized official is Jennifer Adams .
The authorized official title is Administrator and has the following contact phone number (414) 940-7345.

The CLIA number assigned to this NPI record is 38D0979253 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1023679000OTHEROREGONREGENCE BCBS OF OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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