Cullen, Edward Clark
Cullen, Edward Clark is an individual health care provider with primary practice located at 1910 E. Barnett Rd Suite 102, Medford OR 97504-8672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cullen, Edward Clark can be contacted via phone (541) 727-8972.Contact Information
Primary practice address
1910 E. Barnett Rd Suite 102
Medford OR 97504-8672
Phone: (541) 727-8972
Fax: (833) 638-0201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD16629 | Oregon |
Profile Details
| NPI number | 1447257308 |
|---|---|
| LBN Legal business name | Cullen, Edward Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Sep 15th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447257308 | NPPES |
| Oregon | MEDICAID | 008347 |
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