Rogue River Palliative Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD27812 Issued in OR

Legal business name

ROGUE RIVER PALLIATIVE MEDICINE, LLC

Practice address

979 Windemar Dr
Ashland, OR 97520-9747

Phone

(541) 646-8575

NPI assigned

Jun 22, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marguerite Davis Wilkins, MD

Title

Provider/Owner

Phone

(541) 646-8575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1710114343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 WINDEMAR DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209747",
            "telephone_number": "541-646-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE RIVER PALLIATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "541-646-8575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MD27812",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angela Sunshine Rose, L.M.T.

• Internal Medicine Physician in Ashland, OR
• Providers in Ashland, 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 Sep 14, 2009; 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.