Individual
TIMOTHY ALAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 779-0986
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 779-0986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00695
OR
Other
Enumeration date
07/17/2006
Last updated
10/10/2013
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