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Organization

VALLEY IMMEDIATE CARE, LLC

Active
Parent organization
VALLEY IMMEDIATE CARE LLC
Other names
Valley Immediate Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEY IMMEDIATE CARE LLC
Authorized official
DIANA K DORAN (CFO)
(541) 734-9030
Entity
Organization

Contact information

Practice address
162 NE BEACON DR STE 103, GRANTS PASS, OR 97526-4260
(541) 734-9030
(541) 734-9885
Mailing address
815 N CENTRAL AVE STE C, MEDFORD, OR 97501-5873

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD24585
OR

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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