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

Southern Oregon Gynecology LLC

Organization Obstetrics & Gynecology Nurse Practitioner · NPI 1861293284

Southern Oregon Gynecology LLC is an Obstetrics & Gynecology Nurse Practitioner in Medford, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2850 State St
Medford, OR 97504-8474
Phone: (541) 500-4747
Fax: (866) 267-6644
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X

Record details

NPI number1861293284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loretta Sandoval — Provider, Owner · (541) 500-4747
NPI enumeratedMarch 21, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address2850 State St, Medford, OR 97504-8474

Other providers in Medford