River Rock Family Practice PC
NPI 1053957225ActiveOrganization· Nurse Practitioner, Family· Medford, OR
Nurse Practitioner, Family in Medford, Oregon, registered in NPPES in November 2019, part of River Rock Family Practice PC. The authorized official on file is Tammy Harrison, Secretary.
Overview
| NPI | 1053957225 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | River Rock Family Practice PC |
| NPI issued | Nov 22, 2019 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Sep 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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