Organization
PROFESSIONAL MEDICAL SERVICES LLC
Active
Parent organization
PROFESSIONAL MEDICAL SERVICES LLC
Other names
Professional Medical Services at Medford
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL MEDICAL SERVICES LLC
Authorized official
DAVID CRAWFORD (CHIEF FINANCIAL OFFICER)
(503) 494-9616
Entity
Organization
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-5220
Mailing address
2241 LLOYD CENTER, PORTLAND, OR 97232-1315
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227631
—
OR
05
—
7119944
—
WA
Enumeration date
01/16/2008
Last updated
01/16/2008
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