Organization
PHYSICIANS MEDICAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J CRAIG (CREDENTIALING)
(503) 758-4135
Entity
Organization
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-6290
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-6290
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163485
—
OR
Enumeration date
05/09/2006
Last updated
09/12/2022
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