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LORETTA SANDOVAL RN CNM NPI 1568762011


NPI Information

NPI: 1568762011
Provider Name: LORETTA SANDOVAL, RN, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: MEDFORD WOMENS CLINIC LLP

PECOS Registration: Yes

Address:
3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501
Phone: (541) 535-6239
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Loretta Sandoval, RN, CNM is an obstetrics and gynecology nurse practitioner in Medford, OR with 12 years of experience. Loretta Sandoval, RN, CNM NPI is 1568762011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501-957
Phone: (541) 535-6239
Fax: (541) 512-1026

The NPI 1568762011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 7/26/2012.


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
1163W00000XRegistered Nurse201042847RNOREGONNo
2363LX0001XNurse PractitionerObstetrics & Gynecology201250116NPOREGONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.