Individual
MS. CARISSA MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3170 STATE ST, MEDFORD, OR 97504-8450
(541) 864-8900
(541) 245-3315
Mailing address
3170 STATE ST, MEDFORD, OR 97504-8450
(541) 864-8900
(541) 245-3315
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD26545
OR
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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