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SOUTHERN OREGON MEDICAL PRACTICE LLC
NPI 1184000549
Nurse Practitioner - Family in Grants Pass, OR

Active since August 07, 2015
824 UNIT B, ROGUE RIVER HIGHWAY, GRANTS PASS, OR 97527(541) 244-1261(541) 295-8252 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Oregon Medical Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OREGON MEDICAL PRACTICE LLC (NPI 1184000549) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since August 2015. The organization lists Stephen Daniel Spalletta, Owner, as its authorized official.

NPPES Registry Identity

NPI1184000549
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSOUTHERN OREGON MEDICAL PRACTICE LLC
Location Address824 UNIT B, ROGUE RIVER HIGHWAYGrants Pass, OR 97527-0000
Mailing AddressPo Box 2552Grants Pass, OR 97528-0213 · (541) 295-4034
Phone(541) 244-1261
Fax(541) 295-8252
Organization SubpartNo
Authorized OfficialStephen Daniel SpallettaOwner · (541) 295-4034
Enumeration DateAugust 7, 2015
✔ NPI 1184000549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 1174571186
824 UNIT B, ROGUE RIVER HIGHWAY, Grants Pass, OR 97527
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oregon Medical Practice LLC's NPI number?

The NPI number for Southern Oregon Medical Practice LLC is 1184000549. It was assigned to this organization in the NPPES registry on August 7, 2015.

Where is Southern Oregon Medical Practice LLC located?

Southern Oregon Medical Practice LLC is located at 824 Unit B, Rogue River Highway, Grants Pass, OR 97527. The listed phone number is (541) 244-1261.

What is Southern Oregon Medical Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Southern Oregon Medical Practice LLC was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.