Organization
MEDFORD OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 779-3551
(541) 779-3658
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
(503) 570-3405
(503) 570-3315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
02/19/2025
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