OrganizationActive
Northwest Diagnostic Services
NPI 1497051320 · Clinic/Center · Medford, OR
Provider details
- NPI number
- 1497051320
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Hetherington, Excecutive Manager(541) 622-6088
- License
- 12-35846 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
2728 W Main St
Suite 121
Medford, OR 97501-2499
Phone: (541) 622-6088
Fax: (541) 622-6090
Approximate (ZIP-level) locationGet directions
Mailing address
2728 W Main St
Medford, OR 97501-2499
Registry dates
- Enumerated
- 2011-02-10
- Last updated
- 2013-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.