Rogue Functional Wellness LLC

NPI #1336485846 in Medford, Oregon

Provider Information

NPI Number
1336485846
Entity Type
Organization
Organization Name
Rogue Functional Wellness LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 2, 2013
Last Updated
Sep 27, 2015

Practice Location

Address
761 GOLF VIEW DR
Address 2
STE C
State
Oregon
ZIP Code
97504-9655
Phone
(541) 326-4294

Authorized Official

Name
JASON JEX, FNP
Title
OWNER
Phone
(541) 326-4294

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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