Healthcare Provider Details
I. General information
NPI: 1548188535
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL FITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
926 SE M ST
GRANTS PASS OR
97526-3248
US
IV. Provider business mailing address
926 SE M ST
GRANTS PASS OR
97526-3248
US
V. Phone/Fax
- Phone: 541-226-2308
- Fax: 541-226-2354
- Phone: 541-226-2308
- Fax: 541-226-2354
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRETT
WILLIAMS
Title or Position: OWNER
Credential: FNP
Phone: 541-787-1210