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Organization

CLEAR PATH

Active
Other names
Clear Path Center
Organization subpart
No

Provider details

NPI number
Authorized official
AWAIS SIDDIKI M.D. (OWNER)
(541) 324-4594
Entity
Organization

Contact information

Practice address
2364 MAIN ST, SUITE A, PHILOMATH, OR 97370-9488
(541) 307-0028
(541) 307-0239
Mailing address
2364 MAIN ST, SUITE A, PHILOMATH, OR 97370-9488
(541) 307-0028
(541) 307-0239

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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