NPI 1619575875 · live from the CMS NPI Registry
Victor Paul Garcia, NP
Nurse Practitioner, Family in Medford, OR. National Provider Identifier 1619575875, active.
NPI record
| NPI | 1619575875 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3617 S Pacific Hwy, Medford, OR 97501 |
| Practice phone | 541-535-6239 |
| Mailing address | 931 Chevy Way Ste 102, Medford, OR 97504 |
| Enumerated | October 11, 2020 |
| Last updated | August 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 200941772 (OR) |
| Registered Nurse, General Practice | 163WG0000X | 200941772RN (OR) |
| Registered Nurse | 163W00000X | 200941772RN (OR) |
| Nurse Practitioner, Family primary | 363LF0000X | 202100765NP-PP (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.