# WIMAHL FAMILY CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wimahl Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861664781
- **Authorized official:** CORRINA SMITH (CLINIC MANAGER)
- **Authorized official phone:** (503) 338-2993

## Contact information

- **Practice address:** 2120 EXCHANGE ST, SUITE 209, ASTORIA, OR 97103-3365
- **Practice address phone:** (503) 338-2993
- **Practice address fax:** (503) 338-2996
- **Mailing address:** 2120 EXCHANGE ST, SUITE 209, ASTORIA, OR 97103-3365
- **Mailing address phone:** (503) 338-2993
- **Mailing address fax:** (503) 338-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24702 | OR | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 10/06/2022