# BRYAN R CONKLIN MD PC

> 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:** 1659558591
- **Authorized official:** DR. BRYAN R CONKLIN MD PC (PRESIDENT)
- **Authorized official phone:** (541) 963-4139

## Contact information

- **Practice address:** 2011 FOURTH STREET, LA GRANDE, OR 97850-1200
- **Practice address phone:** (541) 963-4139
- **Practice address fax:** (541) 963-4412
- **Mailing address:** 2011 FOURTH STREET, LA GRANDE, OR 97850-1200
- **Mailing address phone:** (541) 963-4139
- **Mailing address fax:** (541) 963-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD23049 | OR | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 04/19/2012