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OASIS CENTER OF THE ROGUE VALLEY NPI 1922582493


NPI Information

NPI: 1922582493
Provider Name: OASIS CENTER OF THE ROGUE VALLEY
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 38D2159906

Address:
534 EAST MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 200-1530
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OASIS CENTER OF THE ROGUE VALLEY is an addiction medicine family medicine in Medford, OR. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. OASIS CENTER OF THE ROGUE VALLEY NPI is 1922582493. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

534 EAST MAIN ST
MEDFORD, OR
ZIP 97504
Phone: (541) 200-1530
Fax: (541) 772-0284

The provider's authorized official is Kerri Ann Hecox .
The authorized official title is Medical Director and has the following contact phone number (541) 200-1530.

The CLIA number assigned to this NPI record is 38D2159906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 11/17/2022.


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
1207QA0401XFamily MedicineAddiction MedicineYes

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
1500196061MEDICAIDOREGON
2500759333MEDICAIDOREGON

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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