OrganizationActive
MD Clinical Holdings, LLC
NPI 1992673800 · Pediatric Neurodevelopmental Disabilities Physician · Medford, OR
Provider details
- NPI number
- 1992673800
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jake Mahon, Owner(541) 654-1776
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Practice location
891 Ohare Pkwy
Medford, OR 97504-4005
Phone: (360) 909-7442
Approximate (ZIP-level) locationGet directions
Mailing address
891 Ohare Pkwy
Medford, OR 97504-4005
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.