NPI 1558358721 · live from the CMS NPI Registry
Heart Clinic Of Southern Oregon & Northern California PC
Internal Medicine, Cardiovascular Disease in Medford, OR. National Provider Identifier 1558358721, active.
NPI record
| NPI | 1558358721 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 520 Medical Center Dr, Suite 200, Medford, OR 97504 |
| Practice phone | 541-282-6600 |
| Mailing address | 520 Medical Center Dr, Ste 200, Medford, OR 97504 |
| Enumerated | October 4, 2005 |
| Last updated | June 24, 2008 |
| Authorized official | Regan Dailey, Business Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.