| NPI | 1629174495 |
|---|---|
| Other Name | APPLEGATE VALLEY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROGER M FOGG Owner 541-862-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 222705-99) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-05-31 |