| Alder Medical Center Pc | |
|
412 Alder St Brookings OR 97415-9014 | |
| (541) 469-5919 | |
| (541) 469-6710 |
| Full Name | Alder Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Alder St, Brookings, Oregon |
| Authorized Official Name and Position | Kelly Hough Lowther (PRESIDENT) |
| Authorized Official Contact | 5414695919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alder Medical Center Pc Po Box 5750 Brookings OR 97415-0125 Ph: (541) 469-5919 | Alder Medical Center Pc 412 Alder St Brookings OR 97415-9014 Ph: (541) 469-5919 |
| NPI Number | 1063400968 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063400968 | NPI | - | NPPES |
| 288201 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD22599 (Oregon) | Primary |
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