Individual
DR. MIRIAM ELIZABETH CHOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D./M.P.H.
Contact information
Practice address
940 ROYAL AVE UNIT 350, MEDFORD, OR 97504-6194
(541) 732-7460
(541) 826-5843
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR49311
CO
207Q00000X
Family Medicine Physician
Primary
MD157695
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648246
—
OR
Enumeration date
04/29/2009
Last updated
06/14/2022
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