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Individual

NICOLE GIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2841 AVENUE G STE 100, WHITE CITY, OR 97503-3030
(541) 826-5252
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD221076
OR

Other

Enumeration date
06/30/2021
Last updated
07/12/2024
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