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

Southern Oregon Direct Primary Care LLC

Organization Family Medicine Physician · NPI 1639092133

Southern Oregon Direct Primary Care LLC is a Family Medicine Physician in Medford, Oregon. Registered with an NPI since 2026.

In the registry since
2026
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

3132 State St Ste 110
Medford, OR 97504-8688
Phone: (541) 500-4989
Fax: (541) 293-9812
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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 number1639092133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amity Williamson — Ceo · (541) 500-4989
NPI enumeratedAugust 1, 2026
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address3132 State St Ste 110, Medford, OR 97504-8688

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