Organization
ROGUE VALLEY UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ADAMS (ADMINISTRATOR)
(541) 494-0734
Entity
Organization
Contact information
Practice address
431 NE REVERE AVE STE 200, BEND, OR 97701-4192
(541) 508-7973
(541) 508-7968
Mailing address
711 MEDFORD CTR, PMB 415, MEDFORD, OR 97504
(541) 774-5808
(541) 732-3910
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023679000
REGENCE BCBS OF OREGON
OR
Enumeration date
03/14/2006
Last updated
01/04/2025
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