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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: August 23, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ventana Wellness, PC's NPI number?

The NPI number for Ventana Wellness, PC is 1720012339. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider was formerly known as Southern Oregon Health And Wellness.

Where is Ventana Wellness, PC located?

Ventana Wellness, PC is located at 3156 State Street, Medford, OR 97504. The listed phone number is (541) 773-9772.

What is Ventana Wellness, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ventana Wellness, PC was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.