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Organization

OASIS CENTER OF THE ROGUE VALLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERRI ANN HECOX MD (MEDICAL DIRECTOR)
(541) 200-1530
Entity
Organization

Contact information

Practice address
534 EAST MAIN ST, MEDFORD, OR 97504
(541) 200-1530
(541) 772-0284
Mailing address
PO BOX 1187, MEDFORD, OR 97501
(541) 200-1530
(541) 772-0284

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500196061
OR
05
500759333
OR
Enumeration date
09/20/2018
Last updated
11/17/2022
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