Clatskanie Family Medical Clinic, Inc.
NPI #1740504422 in Clatskanie, Oregon
Provider Information
- NPI Number
- 1740504422
- Entity Type
- Organization
- Organization Name
- Clatskanie Family Medical Clinic, Inc.
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Mar 24, 2010
- Last Updated
- Aug 31, 2011
Practice Location
- Address
- 401 BELAIR DRIVE
- City
- Clatskanie
- State
- Oregon
- ZIP Code
- 97016
- Phone
- (503) 728-5111
Authorized Official
- Name
- WILLIAM DENNIS-LEIGH
- Title
- PRESIDENT
- Phone
- (503) 728-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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