OrganizationActive
Clinic for Dermatology & Wellness LLC
NPI 1467908863 · Family Nurse Practitioner · Medford, OR
Provider details
- NPI number
- 1467908863
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joseph Atzenbeck, Chief Executive Officer(541) 200-2777
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Phone: (541) 200-2793
Street-level locationGet directions
Mailing address
2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Additional practice locations (1)
- 2937 Siskiyou Blvd Ste 1Medford, OR 97504-8100Phone: (541) 200-2777Fax: (541) 214-2575
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2021-06-19
- Certified
- 2021-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.