Individual
MS. SOPHIA MAXINE BRECHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 CRATER LAKE AVE STE C, MEDFORD, OR 97504-6295
(541) 226-1800
Mailing address
6442 E EVANS CREEK RD, ROGUE RIVER, OR 97537-9605
(916) 673-7417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10248095
OR
174400000X
Specialist
L9792
CA
Other
Enumeration date
06/08/2023
Last updated
02/03/2025
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