Organization
OLIVE BRANCH FAMILY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY DEVORE (MANAGER)
(541) 398-2331
Entity
Organization
Contact information
Practice address
306 W NORTH STREET, ENTERPRISE, OR 97828
(541) 426-7171
(541) 426-7176
Mailing address
PO BOX B, ENTERPRISE, OR 97828-0167
(541) 398-2331
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/24/2010
Last updated
10/29/2010
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