Healthcare Provider Details

I. General information

NPI: 1831008689
Provider Name (Legal Business Name): WELL ROUNDED MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 DOCTORS PARK DR
MEDFORD OR
97504-8127
US

IV. Provider business mailing address

1205 KAMERIN SPRINGS DR
TALENT OR
97540-7840
US

V. Phone/Fax

Practice location:
  • Phone: 702-419-0003
  • Fax:
Mailing address:
  • Phone: 702-419-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BABBBETTE MURPHY
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 702-419-0003