Individual
FOREST RAY SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1180 CRATER LAKE AVE, MEDFORD, OR 97504-6242
(541) 734-2435
(541) 734-4366
Mailing address
1180 CRATER LAKE AVE, MEDFORD, OR 97504-6242
(541) 734-2435
(541) 734-4366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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