Organization · Type 2 NPI
Brookings Harbor Family Practice Clinic
General Practice Physician · Brookings, OR
NPI number
1942415450
Active
Practice location
97825 Shopping Center Ave.
Brookings, OR 97415
Mailing address
PO Box 7529
Brookings, OR 97415-0344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 19106 (OR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1942415450
Brookings Harbor Family Practice Clinic's National Provider Identifier is 1942415450, issued on May 10, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Brookings, OR. The record was last updated on Sep 15, 2007.