Individual
BILLY DAKOTA MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
53 N 2ND ST, ASHLAND, OR 97520-1889
(541) 428-3366
Mailing address
100 N PACIFIC HWY APT 107, TALENT, OR 97540-9505
(409) 750-1258
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0010850
OR
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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