Healthcare Provider Details

I. General information

NPI: 1720397094
Provider Name (Legal Business Name): OREGON CENTER FOR VAGINAL EXCELLENCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 BIEHN ST SUITE 1
KLAMATH FALLS OR
97601-1181
US

IV. Provider business mailing address

2640 BIEHN ST SUITE 1
KLAMATH FALLS OR
97601-1181
US

V. Phone/Fax

Practice location:
  • Phone: 541-205-6890
  • Fax:
Mailing address:
  • Phone: 541-205-6890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTIN L MEINIG
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 541-205-6890