Individual
VICTOR PAUL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
Mailing address
931 CHEVY WAY STE 102, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200941772
OR
163W00000X
Registered Nurse
200941772RN
OR
163WG0000X
General Practice Registered Nurse
200941772RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202100765NP-PP
OR
Other
Enumeration date
10/11/2020
Last updated
08/17/2021
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