Lake Wound Clinic-Klamath Falls
NPI #1134388713 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1134388713
- Entity Type
- Organization
- Organization Name
- Lake Wound Clinic-Klamath Falls
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 9, 2008
- Last Updated
- Jun 9, 2008
Practice Location
- Address
- 2850 DAGGETT AVE
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97601-1107
- Phone
- (541) 517-5169
Authorized Official
- Name
- DR. CHERYL M BONGIOVANNI, PHD
- Title
- MANAGER
- Phone
- (541) 517-5169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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