Optimal Health of Southern Oregon, LLC
NPI #1902353907 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1902353907
- Entity Type
- Organization
- Organization Name
- Optimal Health of Southern Oregon, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 7, 2016
- Last Updated
- Apr 18, 2018
Practice Location
- Address
- 1600 NW 6TH ST SOUTH SUITE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526
- Phone
- (541) 507-1948
Authorized Official
- Name
- WENDELL CHARLES HEIDINGER, MD
- Title
- OWNER
- Phone
- (541) 507-1948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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