JENNIFER W CHILDERS M.D.
NPI 1265515563
Dermatology in Medford, OR

Active since October 23, 2006
3156 STATE ST, MEDFORD, OR 97504(541) 773-9772(541) 773-9772 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer W Childers M.d. NPPES

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

JENNIFER W CHILDERS M.D. (NPI 1265515563) is an individual dermatology provider in Medford, Oregon, licensed in Tennessee (MD17352) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1265515563
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJENNIFER W CHILDERSCredential: M.D.
Location Address3156 STATE STMedford, OR 97504-8450
Mailing Address3156 State StMedford, OR 97504-8450 · (541) 773-9772 · Fax (541) 773-9772
Fax(541) 773-9772
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateDecember 16, 2011
NPI 1265515563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · MD17352
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3156 STATE ST, Medford, OR 97504

Other Identifiers 3

Medicare UPIND93232
Medicaid500608995OR
Medicare PIN147939OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Family Medicine
3156 STATE ST
MEDFORD, OR 97504
Clinical Medical Laboratory
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Nurse Practitioner (Family)
3156 STATE ST
MEDFORD, OR 97504
General Practice
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504

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 Jennifer Childers's NPI number?

The NPI number for Jennifer Childers is 1265515563. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jennifer Childers located?

Jennifer Childers practices at 3156 State St, Medford, OR 97504. The listed phone number is (541) 773-9772.

What is Jennifer Childers's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Childers was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.