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APPLEGATE VALLEY FAMILY MEDICINE
NPI 1629174495
Nurse Practitioner - Family in Grants Pass, OR

Active since September 16, 2006
8600 NEW HOPE RD, GRANTS PASS, OR 97527(541) 862-2836(541) 862-2806 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2019, May 7, 2019 (2 updates tracked since 2019).

About Applegate Valley Family Medicine NPPES

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

APPLEGATE VALLEY FAMILY MEDICINE (NPI 1629174495) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since September 2006. The organization lists Roger M Fogg, Owner, as its authorized official.

NPPES Registry Identity

NPI1629174495
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAPPLEGATE VALLEY FAMILY MEDICINE, LLC
Location Address8600 NEW HOPE RDGrants Pass, OR 97527-8978
Mailing Address8600 New Hope RdGrants Pass, OR 97527-8978 · (541) 862-2836 · Fax (541) 862-2806
Phone(541) 862-2836
Fax(541) 862-2806
Organization SubpartNo
Authorized OfficialRoger M FoggOwner · (541) 862-2836
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMay 31, 20192 updates tracked since enumeration
✔ NPI 1629174495 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 · 222705-99
8600 NEW HOPE RD, Grants Pass, OR 97527
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Other Names 1

Other NameApplegate Valley Family Medicine

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

Other Providers at the Same Location NPPES 2

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

MR. ROGER M FOGG FNP-C
Nurse Practitioner (Family)
8600 NEW HOPE RD
GRANTS PASS, OR 97527
Josephine County (541) 862-2836
DR. CHUTUOC CHRISTINE TRANDINH M.D.
Internal Medicine
8600 NEW HOPE RD
GRANTS PASS, OR 97527
Josephine County (541) 862-2836

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 Applegate Valley Family Medicine, LLC's NPI number?

The NPI number for Applegate Valley Family Medicine, LLC is 1629174495. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is also known as Applegate Valley Family Medicine.

Where is Applegate Valley Family Medicine, LLC located?

Applegate Valley Family Medicine, LLC is located at 8600 New Hope Rd, Grants Pass, OR 97527. The listed phone number is (541) 862-2836.

What is Applegate Valley Family Medicine, 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 Applegate Valley Family Medicine, LLC was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.