MEDICARE: WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	207VG0400X	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528175437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC

Provider Business Mailing Address
First Line	:	700 RAMSEY AVE
Second Line	:	SUITE 101
City	:	GRANTS PASS
State	:	OR
Zip	:	97527-5786
Country	:	US
Telephone Number	:	541-479-8363
Fax Number	:	541-476-2841

Provider Business Practice Location Address
First Line	:	700 RAMSEY AVE
Second Line	:	SUITE 101
City	:	GRANTS PASS
State	:	OR
Zip	:	97527-5786
Country	:	US
Telephone Number	:	541-479-8363
Fax Number	:	541-476-2841

Authorized Official
Title or Position	:	TREASURER
Name	:	DR. RICHARD BATTEY
Credential	:	M.D.
Telephone Number	:	541-479-8363

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/22/2020

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