Organization
CLATSKANIE FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DENNIS-LEIGH (PRESIDENT)
(503) 728-5111
Entity
Organization
Contact information
Practice address
401 BELAIR DRIVE, CLATSKANIE, OR 97016
(503) 728-5111
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(866) 622-2455
(800) 734-4829
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
08/31/2011
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