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

Applegate Valley Family Medicine, LLC

Organization Family Nurse Practitioner · NPI 1629174495

Applegate Valley Family Medicine, LLC provides Family Nurse Practitioner services in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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

8600 New Hope Rd
Grants Pass, OR 97527-8978
Phone: (541) 862-2836
Fax: (541) 862-2806
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 222705-99 (OR)

Record details

NPI number1629174495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Fogg — Owner · (541) 862-2836
Other names Applegate Valley Family Medicine
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMay 31, 2019
Mailing address8600 New Hope Rd, Grants Pass, OR 97527-8978

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