MEDICARE: JOHN E CASTLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	DP00246	OR

General Provider Information

NPI Number	:	1588849426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN E CASTLE

Provider Business Mailing Address
First Line	:	1227 NE 7TH ST
Second Line	:	SUITE A
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1430
Country	:	US
Telephone Number	:	541-471-3668
Fax Number	:	541-471-4814

Provider Business Practice Location Address
First Line	:	1227 NE 7TH ST
Second Line	:	SUITE A
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1430
Country	:	US
Telephone Number	:	541-471-3668
Fax Number	:	541-471-4814

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN E CASTLE
Credential	:	DPM
Telephone Number	:	541-471-3668

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	09/11/2025

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Directions to “JOHN E CASTLE ” Practice Location

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