Organization
ELKHORN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN FREDERICKSON DO (OWNER)
(541) 519-4250
Entity
Organization
Contact information
Practice address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 519-4204
Mailing address
3705 MIDWAY DR, BAKER CITY, OR 97814-1456
(541) 519-4204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
02/01/2024
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