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NPI 1316446339 · live from the CMS NPI Registry

Brookings Internal Medicine-Pathology-Diseases Of The Skin

Internal Medicine in Harbor, OR. National Provider Identifier 1316446339, active.

NPI record

NPI1316446339 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location97839 Shopping Center Ave # 7229, Harbor, OR 97415
Practice phone541-254-9424
EnumeratedFebruary 5, 2018
Last updatedFebruary 5, 2018
Authorized officialRichard Schultz, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Pathology, Anatomic Pathology & Clinical Pathology207ZP0102XMD126149 (OR)
Dermatology207N00000XMD126149 (OR)
Internal Medicine primary207R00000XMD126149 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.