Organization
FALK FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE KAYE DEBACA (OFFICE MANAGER)
(541) 839-4211
Entity
Organization
Contact information
Practice address
115 SW PINE STREET, CANYONVILLE, OR 97417
(541) 839-4211
(541) 839-4983
Mailing address
115 SW PINE STREET, CANYONVILLE, OR 97417-0198
(541) 839-4211
(541) 839-4983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13695
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284208
—
OR
Enumeration date
07/26/2007
Last updated
05/16/2008
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