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

Southern Oregon Medical Practice LLC

Organization Family Nurse Practitioner · NPI 1184000549

Southern Oregon Medical Practice LLC provides Family Nurse Practitioner services in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
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

824 Unit B Rogue River Highway
Grants Pass, OR 97527-0000 Not confirmed with CMS for 11 years — call before visiting
Phone: (541) 244-1261
Fax: (541) 295-8252
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 1174571186 (OR)

Record details

NPI number1184000549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Spalletta — Owner · (541) 295-4034
NPI enumeratedAugust 7, 2015
Last updated in NPPESAugust 7, 2015
Mailing addressPo Box 2552, Grants Pass, OR 97528-0213

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