IndividualActive
Jacob Grange, M.D.
NPI 1508200833 · Anatomic Pathology & Clinical Pathology Physician · Medford, OR
Provider details
- NPI number
- 1508200833
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0116026086 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1032 E Jackson St
Medford, OR 97504
Phone: (541) 770-4559
Fax: (541) 770-4511
Approximate (ZIP-level) locationGet directions
Mailing address
1032 E Jackson St
Medford, OR 97504-7027
Additional practice locations (1)
- 1215 Lee StBox 800904Charlottesville, VA 22908-0816Phone: (434) 982-1018Fax: (434) 924-9492
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2018-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.