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Individual

DR. ANNE REGINA O'CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2825 EAST BARNETT RD, MEDFORD, OR 97504
(541) 789-7000
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504
(541) 789-5250
(541) 789-5538

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD13506
HI
2084P0800X
Psychiatry Physician
Primary
MD153707
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101366
PIN
Enumeration date
09/25/2006
Last updated
06/09/2015
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