# HEALTH ALLIANCE OF SOUTHERN OREGON LLC

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

## Provider details

- **NPI number:** 1588061238
- **Authorized official:** PATRICK HOCKING (CHIEF ADMIN AND FINANCE OFFICER)
- **Authorized official phone:** (541) 789-4549

## Contact information

- **Practice address:** 2650 SISKIYOU BLVD, SUITE 102, MEDFORD, OR 97504-8170
- **Practice address phone:** (541) 789-4728
- **Practice address fax:** (541) 789-4765
- **Mailing address:** 2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
- **Mailing address phone:** (541) 789-2261
- **Mailing address fax:** (541) 789-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 11/24/2014
- **Last updated:** 11/24/2014