Southern Oregon Direct Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN OREGON DIRECT PRIMARY CARE LLC

Practice address

3132 State St Ste 110
Medford, OR 97504-8688

Phone

(541) 500-4989

Fax

(541) 293-9812

NPI assigned

Aug 1, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amity Williamson

Title

Ceo

Phone

(541) 500-4989

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1639092133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 STATE ST STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048688",
            "telephone_number": "541-500-4989",
            "fax_number": "541-293-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 STATE ST STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048688",
            "telephone_number": "541-500-4989",
            "fax_number": "541-293-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON DIRECT PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "AMITY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-500-4989"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Oregon Education Service District
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• Southern Oregon Education Service District
• Southern Oregon Endodontics, PC

• Internal Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.