Organization
CLEAR PATH CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWAIS SIDDIKI M.D. (OWNER)
(541) 324-4594
Entity
Organization
Contact information
Practice address
2364 MAIN ST, SUITE A, PHILOMATH, OR 97370-9488
(541) 324-4594
(541) 708-0949
Mailing address
2364 MAIN ST, SUITE A, PHILOMATH, OR 97370-9488
(541) 324-4594
(541) 708-0949
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD176723
OR
Other
Enumeration date
06/06/2016
Last updated
07/21/2016
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