Southern Oregon Direct Primary Care LLC
NPI 1639092133ActiveOrganization· Internal Medicine· Medford, OR
Internal Medicine in Medford, Oregon, registered in NPPES in August 2026. The authorized official on file is Amity Williamson, Ceo.
Overview
| NPI | 1639092133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2026 |
| Last updated in NPPES | Aug 1, 2026 |
| Certified by provider | Aug 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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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