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Organization

JASON BATES OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN L MILLER CCMA-A (OFFICE MANAGER)
(541) 779-9851
Entity
Organization

Contact information

Practice address
1600 NORTH RIVERSIDE AVENUE, SUITE 2027, MEDFORD, OR 97501
(541) 779-9851
Mailing address
1600 NORTH RIVERSIDE AVENUE, SUITE 2027, MEDFORD, OR 97501
(541) 779-9851

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3136AT
OR

Other

Enumeration date
08/10/2007
Last updated
06/18/2008
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