Organization
SUMMIT FAMILY MEDICINE - LLC
Active
Other names
Summit Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA MARQUEZ (OFFICE SPECIALIST)
(541) 386-2204
Entity
Organization
Contact information
Practice address
1021 JUNE ST, HOOD RIVER, OR 97031-1516
(541) 386-2204
(541) 386-6566
Mailing address
1021 JUNE ST, HOOD RIVER, OR 97031-1516
(541) 386-2204
(541) 386-6566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R144865
PTAN
—
Enumeration date
06/11/2008
Last updated
05/01/2012
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