Individual
MR. BRENDAN SCOTT PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5000
Mailing address
1311 E MAIN ST, MEDFORD, OR 97504-7560
(530) 526-1827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10024132
OR
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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