Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eden Practitioners LLC

Organization Pharmacist · NPI 1376219147

Eden Practitioners LLC is a Pharmacist in Medford, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
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

843 E Main St Ste 204
Medford, OR 97504-7137
Phone: (541) 329-0478
Fax: (541) 314-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Pharmacist Taxonomy 183500000X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X
Community Health Clinic/Center Taxonomy 261QC1500X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Community Health Nurse Practitioner Taxonomy 363LC1500X

Record details

NPI number1376219147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dane Fickes — Owner · (541) 329-0478
Other names Eden Practitioners; Eden Practitioners
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address843 E Main St Ste 204, Medford, OR 97504-7137

Other providers in Medford