OrganizationActive
Southern Oregon Trauma and Emergency Services, LLC
NPI 1356407662 · Emergency Care Clinic/Center · Medford, OR
Provider details
- NPI number
- 1356407662
- Entity type
- Organization
- Primary specialty
- Emergency Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvin Haas, Chief Admin and Finance Officer(541) 789-4103
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2650 Siskiyou Blvd
Suite 102
Medford, OR 97504-8170
Phone: (541) 789-4728
Fax: (541) 789-4765
Street-level locationGet directions
Mailing address
2650 Siskiyou Blvd
Medford, OR 97504-8170
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.