Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clinic for Dermatology & Wellness LLC

Organization Physician Assistant · NPI 1467908863

Clinic for Dermatology & Wellness LLC is a Physician Assistant in Medford, Oregon. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Phone: (541) 200-2793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2937 Siskiyou Blvd Ste 1, Medford, OR 97504-8100 — (541) 200-2777

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467908863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Atzenbeck — Chief Executive Officer · (541) 200-2777
NPI enumeratedAugust 26, 2016
Last updated in NPPESJune 19, 2021
Certification dateJune 19, 2021
Mailing address2924 Siskiyou Blvd Ste 200, Medford, OR 97504-6462

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