Organization
ROGUE RIVER PALLIATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGUERITE DAVIS WILKINS MD (PROVIDER/OWNER)
(541) 646-8575
Entity
Organization
Contact information
Practice address
979 WINDEMAR DR, ASHLAND, OR 97520-9747
(541) 646-8575
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27812
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD27812
MEDICAL LICENSE NUMBER
OR
Enumeration date
06/22/2009
Last updated
09/14/2009
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