Individual
JESSICA H DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 494-3800
(541) 494-0895
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 535-4377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25640
OR
Other
Enumeration date
10/19/2006
Last updated
01/23/2020
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