Individual
ETHAN PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3011 E BARNETT RD, MEDFORD, OR 97504
(541) 789-4673
(541) 789-2121
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-4111
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
PA197772
OR
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
01/17/2022
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