OrganizationActive
Southern Oregon Internal Medicine
NPI 1730202433 · Clinic/Center · Medford, OR
Provider details
- NPI number
- 1730202433
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vicki Wagner, Ceo(541) 282-2217
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 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
2900 Doctors Park Dr
Medford, OR 97504-8127
Phone: (541) 282-2208
Fax: (541) 282-2237
Street-level locationGet directions
Mailing address
2900 Doctors Park Dr
Medford, OR 97504-8127
Registry dates
- Enumerated
- 2007-04-09
- 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.