Organization
EDEN PRACTITIONERS LLC
Active
Other names
Eden Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE FICKES (OWNER)
(541) 329-0478
Entity
Organization
Contact information
Practice address
843 E MAIN ST STE 204, MEDFORD, OR 97504-7137
(541) 329-0478
(541) 314-9556
Mailing address
843 E MAIN ST STE 204, MEDFORD, OR 97504-7137
(541) 329-0478
(541) 314-9556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/12/2022
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