Organization
ASHLAND INTEGRATIVE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN ELLEN GRUBER NP (PRESIDENT)
(541) 201-3173
Entity
Organization
Contact information
Practice address
1745 ASHLAND ST, ASHLAND, OR 97520-2328
(541) 201-3173
(541) 201-3173
Mailing address
PO BOX 1300, ASHLAND, OR 97520-0058
(541) 201-3173
(561) 427-1393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201050217
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500685278
—
OR
Enumeration date
01/08/2007
Last updated
07/04/2025
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