THERAPEUTIC LASER CENTER; NPI #1821096033

Contact Information

THERAPEUTIC LASER CENTER

115 W STEWART AVE
MEDFORD, OR 97501-3607

Phone: 541-772-7007
Fax: 541-772-7771
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for THERAPEUTIC LASER CENTER

NPI #	`1821096033`
LBN Legal business name	THERAPEUTIC LASER CENTER
Authorized official	MARY ANNE CRANDALL - (DOCTOR OF NATURAL SCIENCE,)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/12/2005
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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