# WINDING WATERS MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINDING WATERS MEDICAL CLINIC
- **Other names:** Enterprise Pharmacy of Winding Waters
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285482695
- **Legal business name:** WINDING WATERS MEDICAL CLINIC
- **Authorized official:** KELI JEAN DENNIS (COO)
- **Authorized official phone:** (541) 426-4502

## Contact information

- **Practice address:** 501 W NORTH ST, ENTERPRISE, OR 97828-1044
- **Practice address phone:** (541) 426-4502
- **Practice address fax:** (541) 426-6403
- **Mailing address:** 603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
- **Mailing address phone:** (541) 426-4502
- **Mailing address fax:** (541) 426-6403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/09/2024