Individual
KERRI ANN HECOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 E MAIN ST STE 108, MEDFORD, OR 97504-7448
(541) 618-1380
Mailing address
1025 E MAIN ST STE 108, MEDFORD, OR 97504-7448
(541) 200-1530
(541) 772-0284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26021
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
943096772
FEDERAL TAX ID
—
Enumeration date
04/07/2006
Last updated
06/19/2019
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