Individual
JERRY UGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-6460
(541) 789-6461
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(541) 789-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228396
OR
Other
Enumeration date
08/26/2025
Last updated
12/09/2025
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