Dr. Keyan Botsford
Orthodontists
1625 E Mcandrews Rd Ste B
Medford
, Oregon 97504-5334
Dr. Keyan Botsford
Orthodontists
1625 E Mcandrews Rd Ste B
Medford
, Oregon 97504-5334
(541) 779-3003
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Keyan Botsford
- 1625 E Mcandrews Rd Ste B
- Medford, OR
- Zip : 97504-5334
- Phone : (541) 779-3003
Second Address
- Dr. Keyan Botsford
- 1625 E Mcandrews Rd Ste B
- Medford, OR
- Zip : 97504-5334
- Phone : (541) 779-3003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | D10917 | OR |
National Provider Identifier
| NPI | 1003381914 |
|---|---|
| Provider Name | Dr. Keyan Botsford |
| First Address | Medford, OR 97504-5334 |
| Second Address | Medford, OR 97504-5334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2018 |
| Last Update Date | 14/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.