OrganizationActive
Therapeutic Laser Center
NPI 1821096033 · Rehabilitation Clinic/Center · Medford, OR
Provider details
- NPI number
- 1821096033
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Anne Crandall, Doctor of Natural Science,(541) 772-7007
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
115 W Stewart Ave
Medford, OR 97501-3607
Phone: (541) 772-7007
Fax: (541) 772-7771
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Stewart Ave
Medford, OR 97501-3607
Registry dates
- Enumerated
- 2005-07-12
- 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.