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NPI Code Detail

MEDICARE: LINCOLN CITY MEDICAL CENTER, PC

MEDICARE: LINCOLN CITY MEDICAL CENTER, PC
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
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1912074600
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINCOLN CITY MEDICAL CENTER, PC
Provider Business Mailing Address
First Line : 2870 NE WEST DEVILS LAKE RD
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5127
Country : US
Telephone Number : 541-994-9191
Fax Number : 541-994-9034
Provider Business Practice Location Address
First Line : 2870 NE WEST DEVILS LAKE RD
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5127
Country : US
Telephone Number : 541-994-9191
Fax Number : 541-994-9034
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERLING J OKSENHOLT
Credential : D.O.
Telephone Number : 541-994-9191
Provider Enumeration Date : 11/29/2006
Last Update Date : 02/16/2010

Similar Medicare Providers

1922071380 — DR. JERRY L FLAMING D.O.
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax:
1871535021 — MRS. THERESA J CURRAN PA-C
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax: 541-994-9034
1881786119 — DR. NINA LOUISE MATTARELLA MD
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax: 541-994-9034
1811069404 — DR. ERLING JOHANNES OKSENHOLT D.O.
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax: 541-994-9034
1679649230 — JOHN EDWARD BOHLMAN M.D.
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax: 541-994-9034
1316013626 — MARILYN JEAN FRASER M.D.
Practice Location Address:
2870 NE WEST DEVILS LAKE RD
LINCOLN CITY, OR
97367-5127
Practice Phone: 541-994-9191
Practice Fax: 541-994-9034

Directions to “LINCOLN CITY MEDICAL CENTER, PC ” Practice Location

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