Brookings Harbor Family Practice Clinic

NPI #1942415450 in Brookings, Oregon

Provider Information

NPI Number: 1942415450
Entity Type: Organization
Organization Name: Brookings Harbor Family Practice Clinic
Primary Specialty: General Practice
Enumeration Date: May 10, 2007
Last Updated: Sep 15, 2007

Practice Location

Address: 97825 SHOPPING CENTER AVE.
City: Brookings
State: Oregon
ZIP Code: 97415
Phone: (541) 469-2330

Authorized Official

Name: KENNETH MANUELE
Title: D.O.
Phone: (541) 469-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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