Alford, Amanda Bole

Alford, Amanda Bole is an individual health care provider with primary practice located at 842 E Main St , Medford OR 97504-7134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Alford, Amanda Bole can be contacted via phone (541) 773-7273.

Contact Information

Primary practice address
842 E Main St Medford OR 97504-7134
Fax: (541) 773-2027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD26731 Oregon

Profile Details

NPI number 1992787808
LBN Legal business name Alford, Amanda Bole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992787808 NPPES
Oregon MEDICAID 028468

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