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ROGUE VALLEY SURGICAL ASSISTING
NPI 1285654194
Nurse Practitioner - Family in Medford, OR

Active since July 21, 2006
2549 SANDY TERRACE, MEDFORD, OR 97504(541) 773-2167(541) 773-2167 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rogue Valley Surgical Assisting NPPES

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

ROGUE VALLEY SURGICAL ASSISTING (NPI 1285654194) is a healthcare organization registered as a family in Medford, Oregon and active in the NPI registry since July 2006. The organization lists Kenneth Millsap, Owner, as its authorized official.

NPPES Registry Identity

NPI1285654194
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameROGUE VALLEY SURGICAL ASSISTING
Location Address2549 SANDY TERRACEMedford, OR 97504-7723
Mailing Address2549 Sandy TerraceMedford, OR 97504-7723 · (541) 773-2167 · Fax (541) 773-2167
Phone(541) 773-2167
Fax(541) 773-2167
Organization SubpartNo
Authorized OfficialKenneth MillsapOwner · (541) 773-2167
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285654194 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
2549 SANDY TERRACE, Medford, OR 97504
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Other Identifiers 1

Medicaid292119OR

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 Rogue Valley Surgical Assisting's NPI number?

The NPI number for Rogue Valley Surgical Assisting is 1285654194. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Rogue Valley Surgical Assisting located?

Rogue Valley Surgical Assisting is located at 2549 Sandy Terrace, Medford, OR 97504. The listed phone number is (541) 773-2167.

What is Rogue Valley Surgical Assisting'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 Rogue Valley Surgical Assisting was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.