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Organization
MEDFORD MEDICAL CLINIC, LLP
Active
Organization
MEDFORD MEDICAL CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON KANE VANVALKENBURG M.D. (PARTNER)
(541) 734-3430
Entity
Organization
Contact information
Practice address
555 BLACK OAK DR, SUITE 100, MEDFORD, OR 97504-8447
(541) 734-3430
(541) 734-3666
Mailing address
PO BOX 7841, BELFAST, ME 04915-7800
(541) 734-3430
(541) 734-3666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD21703
OR
207Q00000X
Family Medicine Physician
—
OR
207R00000X
Internal Medicine Physician
—
OR
363L00000X
Nurse Practitioner
—
OR
Other
Enumeration date
06/30/2005
Last updated
05/06/2014
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