Organization
FRONTIER FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A TINGELSTAD (OFFICE MANAGER)
(541) 426-3797
Entity
Organization
Contact information
Practice address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3797
(541) 426-3798
Mailing address
616 W NORTH ST, ENTERPRISE, OR 97828-1427
(541) 426-3797
(541) 426-3798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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