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NPI Code Detail

MEDICARE: FLAMING MEDICAL CENTER P.C.

MEDICARE: FLAMING MEDICAL CENTER 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
1207Q00000XFamily Medicine PhysicianOR

General Provider Information

NPI Number : 1427247220
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLAMING MEDICAL CENTER P.C.
Provider Business Mailing Address
First Line : 1000 SE UGLOW AVE
Second Line :
City : DALLAS
State : OR
Zip : 97338-2645
Country : US
Telephone Number : 503-623-8376
Fax Number : 503-623-5293
Provider Business Practice Location Address
First Line : 1000 SE UGLOW AVE
Second Line :
City : DALLAS
State : OR
Zip : 97338-2645
Country : US
Telephone Number : 503-623-8376
Fax Number : 503-623-5293
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : KATHY DEATON
Credential : RN
Telephone Number : 503-623-8376
Provider Enumeration Date : 10/17/2007
Last Update Date : 10/17/2007

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Directions to “FLAMING MEDICAL CENTER P.C. ” Practice Location

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