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Individual

DR. PRABHJOT KAUR BAINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2931 DOCTORS PARK DR, MEDFORD, OR 97504
(541) 245-4444
Mailing address
PO BOX 3160, CENTRAL POINT, OR 97502-0006
(541) 414-0362
(541) 200-2269

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273538
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500628529
OR
01
856434002
BLUE CROSS OF OREGON
OR
01
J011401
PACIFIC SOURCE
OR
Enumeration date
04/10/2007
Last updated
02/01/2024
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