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Organization

CASCADE FAMILY PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH BOLES FNP (OWNER)
(541) 840-3633
Entity
Organization

Contact information

Practice address
21 HAWTHORNE ST, MEDFORD, OR 97504-7113
(541) 203-7558
(541) 690-1234
Mailing address
21 HAWTHORNE ST, MEDFORD, OR 97504-7113
(541) 203-7558
(541) 690-1234

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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