| Azalea Family Health Care Llc | |
|
937 Chetco Ave. Brookings OR 97415 | |
| (541) 469-1919 | |
| (541) 469-4949 |
| Full Name | Azalea Family Health Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 937 Chetco Ave., Brookings, Oregon |
| Authorized Official Name and Position | Frances E Guthridge (OWNER) |
| Authorized Official Contact | 5414690402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Family Health Care Llc Po Box 7706 Brookings OR 97415-0366 Ph: (541) 469-1919 | Azalea Family Health Care Llc 937 Chetco Ave. Brookings OR 97415 Ph: (541) 469-1919 |
| NPI Number | 1669605424 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669605424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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