Mae Medical

NPI #1164100756 in Lakeview, Oregon

Provider Information

NPI Number: 1164100756
Entity Type: Organization
Organization Name: Mae Medical
Primary Specialty: Family Medicine
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 733 N 1ST ST
City: Lakeview
State: Oregon
ZIP Code: 97630-1507
Phone: (541) 600-2535

Authorized Official

Name: AMANDA JOHNSON, FNP
Title: OWNER/MANAGER
Phone: (541) 600-2535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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