SearchOregon101YA0400X

Sage Bosch

NPI 1437512449 · on the registry since 2016

Practice

Address
1003 E Main St # 104
Medford, OR 97504
Phone
(541) 779-1282
Fax
(541) 779-2081

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon