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Organization
SOUTHERN OREGON DIRECT PRIMARY CARE LLC
Active
Organization
SOUTHERN OREGON DIRECT PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITY WILLIAMSON (CEO)
(541) 500-4989
Entity
Organization
Contact information
Practice address
3132 STATE ST STE 110, MEDFORD, OR 97504-8688
(541) 500-4989
(541) 293-9812
Mailing address
3132 STATE ST STE 110, MEDFORD, OR 97504-8688
(541) 500-4989
(541) 293-9812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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