# FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1790965853
- **Authorized official:** BRETT ROBINSON (OWNER)
- **Authorized official phone:** (503) 581-8899

## Contact information

- **Practice address:** 693 36TH AVE NE, SALEM, OR 97301-4741
- **Practice address phone:** (503) 581-8899
- **Mailing address:** 693 36TH AVE NE, SALEM, OR 97301-4741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD17705 | OR | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/06/2007