IndividualActive
Derek Flack, DO
NPI 1679923098 · Family Medicine Physician · White City, OR
Provider details
- NPI number
- 1679923098
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DO191255 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2841 Avenue G
White City, OR 97503-3024
Phone: (309) 672-4977
Approximate (ZIP-level) locationGet directions
Mailing address
2620 E Barnett Rd Ste H
Medford, OR 97504-8383
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2019-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.