Individual
RACHEL ELIZABETH BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 414-0519
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10219707
OR
Other
Enumeration date
07/27/2023
Last updated
11/08/2023
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