CHILOQUIN FAMILY PRACTICE INC PC

CHILOQUIN, OR
NPI1053545590
Entity TypeOrganization
Authorized ContactLAWRENCE LEE COHEN
Owner
541-783-3412
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD18099)
Enumeration Date2009-05-13
Last Update Date2009-05-13
Business Address
CHILOQUIN FAMILY PRACTICE INC PC
2825 RANCH RD
CHILOQUIN, OR 97624-5749
Phone number: 541-783-3412
Mailing Address
CHILOQUIN FAMILY PRACTICE INC PC
PO BOX 331
CHILOQUIN, OR 97624-0331
Phone number: 541-783-3412
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