# ROGUE VALLEY MANOR, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROGUE VALLEY MANOR
- **Other names:** Rogue Valley Manor Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780634808
- **Legal business name:** ROGUE VALLEY MANOR
- **Authorized official:** MELISSA PRESTON (ASSOCIATE EXECUTIVE DIRECTOR)
- **Authorized official phone:** (541) 857-7392

## Contact information

- **Practice address:** 1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
- **Practice address phone:** (541) 857-7133
- **Practice address fax:** (541) 857-7594
- **Mailing address:** 1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
- **Mailing address phone:** (541) 857-7133
- **Mailing address fax:** (541) 857-7594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/03/2026