| NPI | 1831501436 |
|---|---|
| Other Name | KLAMATH OPEN DOOR FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JEANA SUE BEAL Aa 541-880-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR 1115143) |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |