Southern Oregon Medical Practice LLC
NPI 1184000549ActiveOrganization· Nurse Practitioner, Family· Grants Pass, OR
Nurse Practitioner, Family in Grants Pass, Oregon, registered in NPPES in August 2015. The authorized official on file is Stephen Daniel Spalletta, Owner.
Overview
| NPI | 1184000549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2015 |
| Last updated in NPPES | Aug 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1174571186 | OR |
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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