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Organization

THE FAMILY HEALTH CLINIC OF LAPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA J MOLINA (PRESIDENT)
(541) 536-8012
Entity
Organization

Contact information

Practice address
16480 WILLIAM FOSS RD, LA PINE, OR 97739-9486
(541) 536-8012
(541) 536-9873
Mailing address
PO BOX 126, LA PINE, OR 97739-0126
(541) 536-8012
(541) 536-9873

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
04/09/2007
Last updated
10/18/2007
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