Healthcare Provider Details

I. General information

NPI: 1699138917
Provider Name (Legal Business Name): DENISE PLUMB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE PLUMB MD

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 W STEWART AVE
MEDFORD OR
97501-3663
US

IV. Provider business mailing address

229 W STEWART AVE
MEDFORD OR
97501-3663
US

V. Phone/Fax

Practice location:
  • Phone: 541-282-6770
  • Fax: 541-282-6771
Mailing address:
  • Phone: 541-779-5531
  • Fax: 541-618-6452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD197771
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: