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

Rogue Valley Manor, Inc

Organization Family Medicine Physician · NPI 1780634808

Rogue Valley Manor, Inc is a Family Medicine Physician in Medford, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Mira Mar Ave
Medford, OR 97504-8546
Phone: (541) 857-7133
Fax: (541) 857-7594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1780634808
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRogue Valley Manor
Authorized official Melissa Preston — Associate Executive Director · (541) 857-7392
Other names Rogue Valley Manor Clinic
NPI enumeratedMay 11, 2006
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address1200 Mira Mar Ave, Medford, OR 97504-8546

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