ONE FAMILY MEDICAL GROUP LLC NPI 1306207006

NPI Information

NPI: 1306207006
Provider Name: ONE FAMILY MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D0627942

Address:
1619 NW HAWTHORNE AVE STE 203
GRANTS PASS, OR
ZIP 97526
Phone: (541) 474-5511
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ONE FAMILY MEDICAL GROUP, LLC is a primary care clinic center in Grants Pass, OR. ONE FAMILY MEDICAL GROUP, LLC NPI is 1306207006. The provider is registered as an organization entity type.

The provider's business location address is:

1619 NW HAWTHORNE AVE STE 203
GRANTS PASS, OR
ZIP 97526-009
Phone: (541) 474-5511

The provider's authorized official is Tori Rumrey .
The authorized official title is Provider and has the following contact phone number (541) 474-5511.

The CLIA number assigned to this NPI record is 38D0627942 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2016 and was last updated on 2/7/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	201601213NP-PP	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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