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

Medford Medical Clinic, LLP

Organization Family Medicine Physician · NPI 1366449662

Medford Medical Clinic, LLP is a Family Medicine Physician in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
Specialties on file
4
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 Black Oak Dr Ste 100
Medford, OR 97504-8447
Phone: (541) 734-3430
Fax: (541) 734-3666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD21703 (OR)
Family Medicine Physician Taxonomy 207Q00000X (OR)
Internal Medicine Physician Taxonomy 207R00000X (OR)
Nurse Practitioner Taxonomy 363L00000X (OR)

Record details

NPI number1366449662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Vanvalkenburg — Partner · (541) 734-3430
NPI enumeratedJune 30, 2005
Last updated in NPPESMay 6, 2014
Mailing addressPo Box 7841, Belfast, ME 04915-7800

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