Organization
JACKSON COUNTY PHYSICAL THERAPY LLP
Active
Other names
Jackson County Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON MCCANDLESS (PRACTICE ADMINISTRATOR)
(541) 776-2333
Entity
Organization
Contact information
Practice address
36 HAWTHORNE ST., MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Mailing address
36 HAWTHORNE ST., MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131362
—
OR
01
—
CK6710
RAILROAD MC
OR
Enumeration date
06/19/2007
Last updated
06/08/2015
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