MEDICARE: ASPEN FAMILY MEDICINE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO27233	OR

General Provider Information

NPI Number	:	1174720601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN FAMILY MEDICINE P.C.

Provider Business Mailing Address
First Line	:	2631 CROSBY AVE
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-5726
Country	:	US
Telephone Number	:	541-884-2900
Fax Number	:	541-884-5204

Provider Business Practice Location Address
First Line	:	2631 CROSBY AVE
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-5726
Country	:	US
Telephone Number	:	541-884-2900
Fax Number	:	541-884-5204

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC DOUGLAS HEMPEL
Credential	:	D.O.
Telephone Number	:	541-884-2900

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	08/22/2020

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