Individual
MRS. LINDSEY GAVIOLI FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, AGACNP-BC
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5545
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-5545
(541) 732-5548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
61319
NM
363LF0000X
Family Nurse Practitioner
0993447
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
201804532NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500748692
—
OR
Enumeration date
10/05/2017
Last updated
06/07/2023
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