Applegate Valley Family Medicine, LLC
NPI #1629174495 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1629174495
- Entity Type
- Organization
- Organization Name
- Applegate Valley Family Medicine, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 16, 2006
- Last Updated
- May 31, 2019
Practice Location
- Address
- 8600 NEW HOPE RD
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97527-8978
- Phone
- (541) 862-2836
Authorized Official
- Name
- ROGER M FOGG, FNP-C
- Title
- OWNER
- Phone
- (541) 862-2836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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