Individual
MICHAEL WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
691 MURPHY RD STE 218, MEDFORD, OR 97504-4311
(541) 789-4078
Mailing address
691 MURPHY RD STE 218, MEDFORD, OR 97504-4311
(541) 789-4078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA184897
OR
363A00000X
Physician Assistant
PA9108511
FL
Other
Enumeration date
01/29/2015
Last updated
04/28/2020
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