SearchOregon374U00000X

Stacy Fowler

NPI 1760196968 · on the registry since 2023 · sole proprietor

Practice

Address
524 Berrydale Ave
Medford, OR 97501
Phone
(541) 862-0603

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2023-01-11

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