VENTANA WELLNESS PC NPI 1720012339

NPI Information

VENTANA WELLNESS, PC is a family medicine in Medford, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VENTANA WELLNESS, PC NPI is 1720012339. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Southern Oregon Health And Wellness.

The provider's business location address is:

3156 STATE STREET
MEDFORD, OR
ZIP 97504-450
Phone: (541) 773-9772
Fax: (541) 773-1113

The provider's authorized official is Frank Richard Noodleman .
The authorized official title is Owner and has the following contact phone number (541) 773-9772.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/16/2015.

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:

Other Identifiers

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