| Dr Jennifer Jane Davenport, MD | |
| 2825 E Barnett Rd, Medford, OR 97504-8332 | |
| (541) 789-7000 | |
| (541) 789-7111 | 
| Full Name | Dr Jennifer Jane Davenport | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Cardiology | 
| Location | 2825 E Barnett Rd, Medford, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225292154 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | A100148 (California) | Secondary | 
| 2080P0202X | Pediatrics - Pediatric Cardiology | MD224089 (Oregon) | Primary | 
| Entity Name | Presbyterian Healthcare Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 | 
| Entity Name | Taos Health Systems Inc Holy Cross Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 | 
| Entity Name | Taos Health Systems Inc Holy Cross Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1902338049 PECOS PAC ID: 8224937412 Enrollment ID: O20170424000809 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jennifer Jane Davenport, MD 2825 E Barnett Rd, Mss, Medford, OR 97504-8332 Ph: (541) 789-4281 | Dr Jennifer Jane Davenport, MD 2825 E Barnett Rd, Medford, OR 97504-8332 Ph: (541) 789-7000 | 
| Dr. Lee C Harker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-608-4700 | |
| Dr. Heather J Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Murphy Rd, Medford, OR 97504 Phone: 541-789-4096 Fax: 541-789-4073 | |
| Valerie Ann Ljungkvist, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 750 Murphy Rd, Medford, OR 97504 Phone: 541-608-4096 Fax: 541-608-4073 | |
| Dr. Laura Balestreri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 E Mcandrews Rd Ste 202, Medford, OR 97504 Phone: 541-773-3688 Fax: 541-773-3125 | |
| Heather D Strickland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1322 E Mcandrews Rd, Ste 202, Medford, OR 97504 Phone: 541-773-3688 Fax: 541-773-3125 | |
| Dr. Natalya Kathryn Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19 Myrtle St, Medford, OR 97504 Phone: 541-773-3863 Fax: 541-618-4413 | |
| Gary H Safley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19 Myrtle St, Medford, OR 97504 Phone: 541-773-3863 Fax: 541-618-4413 |