Individual
DR. LUIS FELIX OXHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
140 SOUTH HOLLY STREET, MEDFORD, OR 97501
(541) 774-8200
(541) 774-7964
Mailing address
140 SOUTH HOLLY STREET, MEDFORD, OR 97501
(541) 774-8200
(541) 774-7964
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2652800431
BLUE CROSS BLUE SHIELD
MI
01
—
DB8806
RAIL ROAD MEDICARE- GRP.
MI
01
—
P00134275
RAIL ROAD MEDICARE- INDIV
MI
01
—
P81360
BLUE CARE NETWORK
MI
Enumeration date
10/03/2005
Last updated
12/23/2014
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