Organization
WIMAHL FAMILY CLINIC, PC
Active
Other names
Wimahl Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CORRINA SMITH (CLINIC MANAGER)
(503) 338-2993
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, SUITE 209, ASTORIA, OR 97103-3365
(503) 338-2993
(503) 338-2996
Mailing address
2120 EXCHANGE ST, SUITE 209, ASTORIA, OR 97103-3365
(503) 338-2993
(503) 338-2996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24702
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275225
—
OR
05
—
8377632
—
WA
Enumeration date
04/01/2008
Last updated
10/06/2022
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