Medley, Eric Eugene
Medley, Eric Eugene is an individual health care provider with primary practice located at 702 Sw Ramsey Ave Ste 220 , Grants Pass OR 97527-5859. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Medley, Eric Eugene can be contacted via phone (541) 479-0765.Contact Information
Primary practice address
702 Sw Ramsey Ave Ste 220
Grants Pass OR 97527-5859
Phone: (541) 479-0765
Fax: (541) 479-3461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006236 | Connecticut |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3573 | Oregon |
Profile Details
| NPI number | 1689658080 |
|---|---|
| LBN Legal business name | Medley, Eric Eugene |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1689658080 | NPPES |
| Oregon | MEDICAID | 2069033 |
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