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Individual

ERIN M WINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2780 E BARNETT RD, STE 320, MEDFORD, OR 97504-8674
(541) 776-5065
(541) 474-4527
Mailing address
2780 E BARNETT RD, STE 320, MEDFORD, OR 97504-8674
(541) 776-5065
(541) 474-4527

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA161344
OR
363AM0700X
Medical Physician Assistant
Primary
PA161344
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500653363
OR
Enumeration date
12/27/2012
Last updated
11/26/2019
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