Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology and Laser Associates of Medford

Organization Dermatology Physician · NPI 1336294321

Dermatology and Laser Associates of Medford provides Dermatology Physician services in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

2959 Siskiyou Blvd #B
Medford, OR 97504-8131
Phone: (541) 773-3636
Fax: (541) 245-9147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (OR)

Record details

NPI number1336294321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Naversen — Partner · (541) 773-3636
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJune 6, 2017
Mailing address2959 Siskiyou Blvd, B, Medford, OR 97504-8131

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