Individual
BYRON B TELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
555 BLACK OAK DR, SUITE 300, MEDFORD, OR 97504-8447
(541) 494-2000
(541) 494-2002
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504-8383
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200050100NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000483
—
OR
Enumeration date
02/23/2007
Last updated
04/26/2013
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