Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN OREGON GYNECOLOGY LLC
NPI 1861293284
Nurse Practitioner - Obstetrics & Gynecology in Medford, OR

Q: What is Southern Oregon Gynecology LLC's NPI number?

The NPI number for Southern Oregon Gynecology LLC is 1861293284. It was assigned to this organization in the NPPES registry on March 21, 2025.

Q: What is Southern Oregon Gynecology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Active since March 21, 2025CLIA 38D1016124 · Microscopy

2850 STATE ST, MEDFORD, OR 97504(541) 500-4747(866) 267-6644 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Oregon Gynecology Llc NPPES

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

SOUTHERN OREGON GYNECOLOGY LLC (NPI 1861293284) is a healthcare organization registered as an obstetrics & gynecology in Medford, Oregon and active in the NPI registry since March 2025. The organization holds a CLIA Microscopy certificate valid through March 11, 2028 and lists Loretta Sandoval, Provider, Owner, as its authorized official.

NPPES Registry Identity

NPI1861293284

Entity TypeOrganization

Primary Taxonomy363LX0001X

Legal Business NameSOUTHERN OREGON GYNECOLOGY LLC

Location Address2850 STATE STMedford, OR 97504-8474

Mailing Address2850 State StMedford, OR 97504-8474 · (541) 500-4747 · Fax (866) 267-6644

Phone(541) 500-4747

Fax(866) 267-6644

Organization SubpartNo

Authorized OfficialLoretta SandovalProvider, Owner · (541) 500-4747

Enumeration DateMarch 21, 2025

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1861293284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

2850 STATE ST, Medford, OR 97504

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D1016124

Southern Oregon Gynecology, LLC · Medford, OR

Active · expires Mar 11, 2028

CLIA Number38D1016124

Laboratory TypePhysician Office

Certificate Effective DateMarch 12, 2026

Certificate Expiration DateMarch 11, 2028

Laboratory DirectorLoretta Sandovall

Laboratory Phone(541) 500-4747

Laboratory LocationSouthern Oregon Gynecology, LLC2850 State Street, Medford, OR 97504

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Gynecology LLC's NPI number?

The NPI number for Southern Oregon Gynecology LLC is 1861293284. It was assigned to this organization in the NPPES registry on March 21, 2025.

Where is Southern Oregon Gynecology LLC located?

Southern Oregon Gynecology LLC is located at 2850 State St, Medford, OR 97504. The listed phone number is (541) 500-4747.

What is Southern Oregon Gynecology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Does Southern Oregon Gynecology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D1016124) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Oregon Gynecology LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Gynecology LLC 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 Southern Oregon Gynecology LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.