Organization
ROGUE FUNCTIONAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JEX FNP (OWNER)
(541) 326-4294
Entity
Organization
Contact information
Practice address
761 GOLF VIEW DR, STE C, MEDFORD, OR 97504-9655
(541) 326-4294
(866) 629-9347
Mailing address
761 GOLF VIEW DR, STE C, MEDFORD, OR 97504-9655
(541) 326-4294
(866) 629-9347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
09/27/2015
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