Frontier Family Medicine PC

NPI #1306883194 in Enterprise, Oregon

Provider Information

NPI Number: 1306883194
Entity Type: Organization
Organization Name: Frontier Family Medicine PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 616 W NORTH ST
City: Enterprise
State: Oregon
ZIP Code: 97828-1427
Phone: (541) 426-3797

Authorized Official

Name: KIMBERLY A TINGELSTAD
Title: OFFICE MANAGER
Phone: (541) 426-3797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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