1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Clinic Center
  6. NPI Profile

SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES, LLC
NPI 1356407662
Clinic/Center - Emergency Care in Medford, OR

Active since December 29, 2006
2650 SISKIYOU BLVD, SUITE 102, MEDFORD, OR 97504(541) 789-4728(541) 789-4765 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Oregon Trauma And Emergency Services, Llc NPPES

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

SOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES, LLC (NPI 1356407662) is a healthcare organization registered as an emergency care in Medford, Oregon and active in the NPI registry since December 2006. The organization lists Marvin D Haas, Chief Admin And Finance Officer, as its authorized official.

NPPES Registry Identity

NPI1356407662
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameSOUTHERN OREGON TRAUMA AND EMERGENCY SERVICES, LLC
Location Address2650 SISKIYOU BLVD, SUITE 102Medford, OR 97504-8170
Mailing Address2650 Siskiyou Blvd, Suite 102Medford, OR 97504-8170 · (541) 789-4728 · Fax (541) 789-4765
Phone(541) 789-4728
Fax(541) 789-4765
Organization SubpartNo
Authorized OfficialMarvin D HaasChief Admin And Finance Officer · (541) 789-4103
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356407662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
2650 SISKIYOU BLVD, Medford, OR 97504
Open in Google Maps ↗

Other Identifiers 1

Medicaid226953OR

Other Providers at the Same Location NPPES 3

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

DR. ALEXANDER KAMINSKY M.D.
Emergency Medicine
2650 SISKIYOU BLVD
MEDFORD, OR 97504
Jackson County (541) 789-4728
HEALTH ALLIANCE OF SOUTHERN OREGON LLC
Family Medicine
2650 SISKIYOU BLVD, SUITE 102
MEDFORD, OR 97504
Jackson County (541) 789-4728
MEGAN KIMBALL LMSW
Social Worker
2650 SISKIYOU BLVD
MEDFORD, OR 97504
Jackson County (541) 789-7000

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 Trauma And Emergency Services, LLC's NPI number?

The NPI number for Southern Oregon Trauma And Emergency Services, LLC is 1356407662. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Southern Oregon Trauma And Emergency Services, LLC located?

Southern Oregon Trauma And Emergency Services, LLC is located at 2650 Siskiyou Blvd Suite 102, Medford, OR 97504. The listed phone number is (541) 789-4728.

What is Southern Oregon Trauma And Emergency Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

When was this NPI record last updated?

The NPPES record for Southern Oregon Trauma And Emergency Services, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.