Individual
JALEH OSTOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3860 CRATER LAKE AVE, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 857-4499
Mailing address
3860 CRATER LAKE AVE, MEDFORD, OR 97504-9741
(541) 858-1003
(541) 857-4499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250155NP
OR
Other
Enumeration date
09/25/2006
Last updated
04/23/2019
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