# SUMMIT FAMILY MEDICINE - LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811157902
- **Authorized official:** MARISA MARQUEZ (OFFICE SPECIALIST)
- **Authorized official phone:** (541) 386-2204

## Contact information

- **Practice address:** 1021 JUNE ST, HOOD RIVER, OR 97031-1516
- **Practice address phone:** (541) 386-2204
- **Practice address fax:** (541) 386-6566
- **Mailing address:** 1021 JUNE ST, HOOD RIVER, OR 97031-1516
- **Mailing address phone:** (541) 386-2204
- **Mailing address fax:** (541) 386-6566

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 05/01/2012