Individual
LORETTA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
1910 E BARNETT RD STE 102, MEDFORD, OR 97504-8672
(541) 500-4747
(866) 267-6644
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042847RN
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
201250116NP
OR
Other
Enumeration date
11/01/2010
Last updated
02/20/2025
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