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Johnathan Stillwagon
NPI 1770400129 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1026 N Berkeley Way Unit 2medford
Medford, OR 97504 - Phone
- (458) 226-0017
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-06
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