# OAK STREET HEALTH CARE CENTER P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235177288
- **Authorized official:** LEE M WILSON (ADMINISTRATOR)
- **Authorized official phone:** (541) 469-6023

## Contact information

- **Practice address:** 446 OAK ST, BROOKINGS, OR 97415-9612
- **Practice address phone:** (541) 412-8898
- **Practice address fax:** (541) 412-7420
- **Mailing address:** PO BOX 6579, BROOKINGS, OR 97415-0285
- **Mailing address phone:** (541) 412-8898
- **Mailing address fax:** (541) 412-7420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 01/22/2010