MEDFORD MEDICAL CLINIC, LLP
NPI 1366449662
Family Medicine in Medford, OR

Q: What is Medford Medical Clinic, LLP's NPI number?

The NPI number for Medford Medical Clinic, LLP is 1366449662. It was assigned to this organization in the NPPES registry on June 30, 2005.

Q: What is Medford Medical Clinic, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 30, 2005

555 BLACK OAK DR, SUITE 100, MEDFORD, OR 97504(541) 734-3430(541) 734-3666 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medford Medical Clinic, Llp NPPES

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

MEDFORD MEDICAL CLINIC, LLP (NPI 1366449662) is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since June 2005. The organization lists Jon Kane Vanvalkenburg, Partner, as its authorized official.

NPPES Registry Identity

NPI1366449662

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEDFORD MEDICAL CLINIC, LLP

Location Address555 BLACK OAK DR, SUITE 100Medford, OR 97504-8447

Mailing AddressPo Box 7841Belfast, ME 04915-7800 · (541) 734-3430 · Fax (541) 734-3666

Phone(541) 734-3430

Fax(541) 734-3666

Organization SubpartNo

Authorized OfficialJon Kane VanvalkenburgPartner · (541) 734-3430

Enumeration DateJune 30, 2005

Last NPPES UpdateMay 6, 2014

✔ NPI 1366449662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD21703

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

555 BLACK OAK DR, Medford, OR 97504

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Other Identifiers 2

Medicare UPING46004OR

Medicare NSC4889450001OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 19

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

MR. DANA ANDREW TESZLER

Nurse Practitioner (Family)

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-7000

AMBER TRACY FNP-C

Nurse Practitioner

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-2273

OVERLAND, ORDAL, & THORSON PULMONARY CONSULTANTS PC

Internal Medicine (Pulmonary Disease)

555 BLACK OAK DR, SUITE 300
MEDFORD, OR 97504

Jackson County (541) 494-2000

GREG D SMITH APNP

Nurse Practitioner (Family)

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-8176

DR. JAMES WILLIAM THEEN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 734-3430

SUMMAYA ABDUL LATIF M.D.

Internal Medicine

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-8873

DR. SARAH ELIZABETH WHITE PHARM.D., BCPS, RPH

Pharmacist (Ambulatory Care)

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-5919

MRS. CECILY HELEN SHAW-SCALA FNP C

Nurse Practitioner (Family)

555 BLACK OAK DR
MEDFORD, OR 97504

Jackson County (541) 789-2273

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 Medford Medical Clinic, LLP's NPI number?

The NPI number for Medford Medical Clinic, LLP is 1366449662. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Medford Medical Clinic, LLP located?

Medford Medical Clinic, LLP is located at 555 Black Oak Dr Suite 100, Medford, OR 97504. The listed phone number is (541) 734-3430.

What is Medford Medical Clinic, LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Medford Medical Clinic, LLP accept?

Health plans from PacificSource Health Plans list Medford Medical Clinic, LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medford Medical Clinic, LLP was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.