Chiloquin Family Practice INC PC

NPI #1053545590 in Chiloquin, Oregon

Provider Information

NPI Number
1053545590
Entity Type
Organization
Organization Name
Chiloquin Family Practice INC PC
Primary Specialty
Family Medicine
Enumeration Date
May 13, 2009
Last Updated
May 13, 2009

Practice Location

Address
2825 RANCH RD
State
Oregon
ZIP Code
97624-5749
Phone
(541) 783-3412

Authorized Official

Name
DR. LAWRENCE LEE COHEN, M.D.
Title
OWNER
Phone
(541) 783-3412

Specialties & Taxonomy Codes

Specialty
Family Medicine

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