Individual
TAIRA CORYN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1345 POPLAR DR, MEDFORD, OR 97504-5207
(541) 200-3240
(541) 200-3241
Mailing address
1345 POPLAR DR, MEDFORD, OR 97504-5207
(541) 200-3240
(541) 200-3241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142261
OR
363LF0000X
Family Nurse Practitioner
Primary
20186659
OR
Other
Enumeration date
05/24/2018
Last updated
01/13/2025
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