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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