# DAPHNE MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SELF INTEGRATIVE CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194756114
- **Authorized official:** CAROLYN F SELF FNP (PRESIDENT)
- **Authorized official phone:** (541) 664-5151

## Contact information

- **Practice address:** 1630 SISKIYOU BLVD STE B, ASHLAND, OR 97520-2423
- **Practice address phone:** (541) 664-5151
- **Practice address fax:** (541) 664-5155
- **Mailing address:** 1208 BEALL LN, CENTRAL POINT, OR 97502-1573
- **Mailing address phone:** (541) 664-5151
- **Mailing address fax:** (541) 664-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | OR | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 11/15/2007