Individual
PATRICIA DEMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 690-3555
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201902536
OR
363L00000X
Nurse Practitioner
26NJ00101300
NJ
363L00000X
Nurse Practitioner
CNP101010
ME
363L00000X
Nurse Practitioner
NP95013148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435543099
—
ME
Enumeration date
08/11/2006
Last updated
08/26/2024
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