Most Relevant Information
Provider Data
| NPI Number: | 1003448234 |
| Provider Name: | MICHELLE ADALY RUIZ-CASTRO |
| Entity Type: | Individual |
| Taxonomy Code: | 247000000X |
| Specialty: | Technician, Health Information |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2020 |
| Last Updated: | 02/05/2020 |
Provider Practice Location
3397 DELTA WATERS RD
MEDFORD
OR
975045852
Practice Location Phone/Fax
| Phone: | 5417724648 |
| Fax: |
Provider Mailing Location
300 W MAIN ST
MEDFORD
OR
975012756
Provider Mailing Phone/Fax
| Phone: | 5417721777 |
| Fax: |