# SOUTHERN OREGON PEDIATRICS, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194932814
- **Authorized official:** BRENDA L SANKEY (OFFICE MANAGER)
- **Authorized official phone:** (541) 789-5879

## Contact information

- **Practice address:** 750 MURPHY RD, MEDFORD, OR 97504-8426
- **Practice address phone:** (541) 789-4096
- **Practice address fax:** (541) 789-4073
- **Mailing address:** 750 MURPHY RD, MEDFORD, OR 97504-8426
- **Mailing address phone:** (541) 789-4096
- **Mailing address fax:** (541) 789-4073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 07-00020431 | OR | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 03/05/2019