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Individual

MRS. MELODEE KAY BADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
555 BLACK OAK DRIVE, SUITE 300, MEDFORD, OR 97504-8491
(541) 789-8100
(541) 789-8101
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504-8383
(541) 789-4281
(541) 789-5538

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350115NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227616
OR
05
298517
OR
Enumeration date
07/03/2006
Last updated
03/16/2015
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