Individual
VANESSA J WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 BIDDLE RD STE D, MEDFORD, OR 97504-5266
(541) 500-8407
Mailing address
1380 BIDDLE RD STE D, MEDFORD, OR 97504-5266
(541) 500-8407
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
116072
OR
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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