Individual
BRETT A POISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3011 E BARNETT RD, MEDFORD, OR 97504
(541) 789-4673
(541) 789-2121
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-4111
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD23704
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286924
—
OR
Enumeration date
05/16/2006
Last updated
01/18/2022
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