Medford Medical Clinic, LLP

NPI #1366449662 in Medford, Oregon

Provider Information

NPI Number: 1366449662
Entity Type: Organization
Organization Name: Medford Medical Clinic, LLP
Primary Specialty: Family Medicine
Enumeration Date: Jun 30, 2005
Last Updated: May 6, 2014

Practice Location

Address: 555 BLACK OAK DR
Address 2: SUITE 100
City: Medford
State: Oregon
ZIP Code: 97504-8447
Phone: (541) 734-3430

Authorized Official

Name: MR. JON KANE VANVALKENBURG, M.D.
Title: PARTNER
Phone: (541) 734-3430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X

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