Organization
DPMBECKMANNNROR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BECKMANN DPM (OWNER)
(503) 990-7620
Entity
Organization
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
Mailing address
3760 MARKET ST NE, #105, SALEM, OR 97301-1826
(503) 990-7620
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DP00434
OR
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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