Organization
GERIATRIC AND NURSING HOME
Active
Organization
GERIATRIC AND NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M FORD MD (OWNER/PROVIDER)
(541) 601-9939
Entity
Organization
Contact information
Practice address
441 SILVERADO CIR, MEDFORD, OR 97504-8167
(541) 601-9939
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(877) 772-9433
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD24844
OR
Other
Enumeration date
11/01/2011
Last updated
06/29/2016
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