Organization
CATARACT AND LASER INSTITUTE OF SOUTHERN OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE DAWN BOUCHER (BUSINESS CLINIC MANAGER)
(541) 779-2020
Entity
Organization
Contact information
Practice address
1408 E. BARNETT RD, MEDFORD, OR 97504
(541) 779-2020
(541) 770-6838
Mailing address
1408 E BARNETT RD, MEDFORD, OR 97504-8279
(541) 779-2020
(541) 770-6838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14-00033080
OR
Other
Enumeration date
01/31/2007
Last updated
02/02/2023
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