# ALDER MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alder Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063400968
- **Authorized official:** KELLY HOUGH LOWTHER MD (PRESIDENT)
- **Authorized official phone:** (541) 469-5919

## Contact information

- **Practice address:** 412 ALDER ST, BROOKINGS, OR 97415-9014
- **Practice address phone:** (541) 469-5919
- **Practice address fax:** (541) 469-6710
- **Mailing address:** PO BOX 5750, BROOKINGS, OR 97415-0125
- **Mailing address phone:** (541) 469-5919
- **Mailing address fax:** (541) 469-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD22599 | OR | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020