Healthcare Provider Details

I. General information

NPI: 1902760564
Provider Name (Legal Business Name): EMMA SILVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 ROYAL AVE UNIT 350
MEDFORD OR
97504-6194
US

IV. Provider business mailing address

940 ROYAL AVE UNIT 350
MEDFORD OR
97504-6194
US

V. Phone/Fax

Practice location:
  • Phone: 541-732-7460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number202206495RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: