NPI 1003957911

Philomath Family Medicine, P.C.

Organisation Non-Pharmacy Dispensing Site Philomath, OR

Practice location

Address: 1219 Applegate, Philomath, OR 97370
Phone: (541) 929-2922
Mailing address: 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name: Kenny Heine
Title: Director of Operations
Phone: (858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence MD10373 (OR)

Other Non-Pharmacy Dispensing Site providers in Oregon →

Registry record

NPI: 1003957911
Entity type: Organization
NPI issued: 12 Feb 2007
Record last updated: 16 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.