Individual
DR. MARTHA MARIE CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 CATALINA DR, ASHLAND, OR 97520-1605
(541) 201-4800
(541) 201-4815
Mailing address
2620 E BARNETT RD, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD25511
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022866
OMAP ID NUMBER
OR
05
—
022866
—
OR
01
—
840333003
BLUE CROSS BLUE SHIELD
OR
01
—
A68554
CA LICENSE
CA
01
—
MD25511
STATE LICENSE
OR
Enumeration date
07/17/2006
Last updated
03/07/2023
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