Individual
BRIAN C MARLIA-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201393788NP-PP
OR
Other
Enumeration date
11/06/2013
Last updated
02/16/2022
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