Unknown Individual – Dermatology Physician, NPI 1154371284
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1208, Beall Lane, Central Point, Jackson County, Oregon, 97502, United States
CENTRAL POINT, OR 975021573
Phone: (541) 664-5151
Type: Mailing
Southern Oregon Gynecology, 1910, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
SUITE 101
MEDFORD, OR 975048672
Phone: (541) 732-1686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97502)
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