Organization
BEAR VALLEY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE TIBBITS (CLINIC MANAGER)
(541) 821-3522
Entity
Organization
Contact information
Practice address
1833 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 226-9840
Mailing address
1833 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 226-9840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
12/15/2020
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