Individual
DR. JAMES WILLIAM THEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 BLACK OAK DR, MEDFORD, OR 97504-8447
(541) 734-3430
(541) 734-3638
Mailing address
3625 OLD CHERRY LN, MEDFORD, OR 97504-9476
(541) 734-3430
(541) 734-3638
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD16267
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081430
—
OR
Enumeration date
06/27/2006
Last updated
07/19/2017
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