Healthcare Provider Details

I. General information

NPI: 1427130442
Provider Name (Legal Business Name): WOMEN'S HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

691 MURPHY RD SUITE 232
MEDFORD OR
97504-4346
US

IV. Provider business mailing address

691 MURPHY RD SUITE 232
MEDFORD OR
97504-4346
US

V. Phone/Fax

Practice location:
  • Phone: 541-773-3018
  • Fax: 541-773-3093
Mailing address:
  • Phone: 541-773-3018
  • Fax: 541-773-3093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. BEVERLEY A. MARTIN
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 541-857-2915