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VENTANA WELLNESS, PC
NPI 1720012339
Family Medicine in Medford, OR

Active since July 10, 2006
3156 STATE STREET, MEDFORD, OR 97504(541) 773-9772(541) 773-1113 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ventana Wellness, Pc NPPES

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

VENTANA WELLNESS, PC (NPI 1720012339), doing business as Southern Oregon Health And Wellness, is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since July 2006. The organization lists Frank Richard Noodleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720012339
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVENTANA WELLNESS, PC
Location Address3156 STATE STREETMedford, OR 97504-8450
Mailing Address3156 State StreetMedford, OR 97504-8450 · (541) 773-9772 · Fax (541) 773-1113
Phone(541) 773-9772
Fax(541) 773-1113
Organization SubpartNo
Authorized OfficialFrank Richard NoodlemanOwner · (541) 773-9772
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 16, 2015
✔ NPI 1720012339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · 06-00024661
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.

3156 STATE STREET, Medford, OR 97504
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Other Names 1

Former Legal Business NameSouthern Oregon Health And Wellness

Other Identifiers 3

Medicare UPINR111470OR
Medicare PINR111470OR
Medicaid287179OR

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

What is VENTANA WELLNESS, PC's NPI number?

The NPI number assigned to this healthcare provider is 1720012339, enumerated as an "organization" on July 10, 2006.

Where is the provider located?

The provider is located at 3156 STATE STREET MEDFORD, OR 97504 and the phone number is (541) 773-9772.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does VENTANA WELLNESS, PC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.