# BANDON FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124215736
- **Authorized official:** DR. MEGAN MARIE HOLLAND M.D. (SOLE MEMBER)
- **Authorized official phone:** (541) 329-1362

## Contact information

- **Practice address:** 475 ELMIRA AVE SE STE 201, BANDON, OR 97411-7409
- **Practice address phone:** (541) 329-1362
- **Practice address fax:** (541) 329-1364
- **Mailing address:** 475 ELMIRA AVE SE STE 201, BANDON, OR 97411-7409
- **Mailing address phone:** (541) 329-1362
- **Mailing address fax:** (541) 329-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD27591 | OR | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 07/09/2009