Individual
DR. PAMELA GRACE DEMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 N RIVERSIDE AVE STE 23, MEDFORD, OR 97501-4655
(541) 414-0330
(541) 414-0333
Mailing address
1245 N RIVERSIDE AVE STE 23, MEDFORD, OR 97501-4655
(541) 414-0330
(541) 414-0333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD187777
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18777
OREGON MEDICAL LICENSE
OR
Enumeration date
11/01/2006
Last updated
06/28/2012
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