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

Autumn Polidor, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710305875

Autumn Polidor, MD is a Family Practice in Medford, Oregon. Qualified in 2014, 12 years ago. Practices with Rogue Community Health, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Myrtle St
Medford, OR 97504-7337
Phone: (543) 773-3863
Fax: (541) 776-2892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Daggett Ave, Klamath Falls, OR 97601-7150 — (541) 274-4611

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD184735 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710305875
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rogue Community Health — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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