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Individual

MRS. MEGAN REBECCA MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
125 S CENTRAL, STE 201, MEDFORD, OR 97501
(541) 773-8285
(541) 773-1634
Mailing address
125 S CENTRAL, STE 201, MEDFORD, OR 97501
(541) 773-8285
(541) 773-1634

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000844
OR
Enumeration date
12/01/2006
Last updated
07/08/2007
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