# KLAMATH MEDICAL CLINIC PC

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

## Provider details

- **NPI number:** 1396774378
- **Authorized official:** RANDAL A MACHADO MD (PRESIDENT OF BOARD OF DIRECTORS)
- **Authorized official phone:** (541) 882-4691

## Contact information

- **Practice address:** 1905 MAIN ST, KLAMATH FALLS, OR 97601-2638
- **Practice address phone:** (541) 882-4691
- **Practice address fax:** (541) 883-5211
- **Mailing address:** 1905 MAIN ST, KLAMATH FALLS, OR 97601-2638
- **Mailing address phone:** (541) 882-4691
- **Mailing address fax:** (541) 883-5211

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 02/13/2008