Organization
KLAMATH MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL A MACHADO MD (PRESIDENT OF BOARD OF DIRECTORS)
(541) 882-4691
Entity
Organization
Contact information
Practice address
1905 MAIN ST, KLAMATH FALLS, OR 97601-2638
(541) 882-4691
(541) 883-5211
Mailing address
1905 MAIN ST, KLAMATH FALLS, OR 97601-2638
(541) 882-4691
(541) 883-5211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
02/13/2008
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