One Family Medical Group, LLC
Clinic/Center, Primary Care in Grants Pass, OR. Organization (NPI-2).
NPI number1306207006
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1306207006
- Entity type
- Organization (NPI-2)
- Legal business name
- One Family Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2016
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 201601213np-pp | OR | Yes |
Practice location
1619 Nw Hawthorne Ave Ste 203Grants Pass, OR 97526-6009
Phone 541-474-5511
Mailing address
1619 Nw Hawthorne Ave Ste 203Grants Pass, OR 97526-6009
Phone 541-474-5511
Authorized official
Tori Rumrey
Provider
5414745511
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