Individual
MRS. BRITTANY HAMILTON MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2825 EAST BARNETT RD., MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-7000
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA180587
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500719394
—
OR
Enumeration date
06/01/2016
Last updated
11/08/2021
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