Southern Oregon Hbot LLC
NPI #1982086054 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1982086054
- Entity Type
- Organization
- Organization Name
- Southern Oregon Hbot LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 24, 2015
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 1663 WILLIAMS HWY
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97527-5699
- Phone
- (541) 479-1289
Authorized Official
- Name
- DENISE MAO, NP
- Title
- MEDICAL DIRECTOR
- Phone
- (541) 479-1289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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