Individual
LANDON MASTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(503) 732-6914
Mailing address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(503) 732-6914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA174776
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2014
Last updated
10/12/2016
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