CHILOQUIN FAMILY PRACTICE INC PC (NPI# 1053545590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053545590 |
| Entity Type | Organization |
| Organization Name | CHILOQUIN FAMILY PRACTICE INC PC |
| Practice Address |
2825 Ranch Rd Chiloquin OR 97624-5749 |
| Mailing Address |
Po Box 331 Chiloquin OR 97624-0331 |
| Practice Telephone | 5417833412 |
| Practice Fax Number | 5417833412 |
| Mailing Telephone | 5417833412 |
| Mailing Fax Number | 5417833412 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | DR. LAWRENCE LEE COHEN (OWNER) |
| Authorized Official Telephone | 5417833412 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD18099 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287928 | 05 |
| Street Address |
2825 RANCH RD |
| City | CHILOQUIN |
| State | OR |
| Zip Code | 97624-5749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588805832 | Klamath Tribal Health and Family Services | Clinic/Center | 330 Chiloquin Boulevard, Chiloquin, OR 97624 | 2009-03-17 |
| 1922250364 | Melissa Sample | Registered Nurse | 103 Waso, Chiloquin, OR 97624 | 2008-10-16 |
| 1225291503 | Klamath Health Partnership Inc | Clinic/Center | 103 Wasco Ave, Chiloquin, OR 97624 | 2008-07-07 |
| 1598834822 | Edward Stuart Walker | Dentist | 330 Chiloquin, Chiloquin, OR 97624 | 2006-11-08 |
| 1295728624 | Jamie D. Rich | Internal Medicine | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2005-08-31 |
| 1629078274 | Klamath Tribal Health & Family Services | Clinic/Center | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2005-07-26 |
| 1114296720 | Marcy J. Ayres | Dietitian, Registered | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2011-12-28 |
| 1427351576 | Laura A. Snyder | Dentist | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2010-12-13 |
| 1225260946 | Qiang Yin | Transplant Surgery | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2009-08-13 |
| 1861412884 | Kathy Kiryang Bak | Family Medicine | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2006-07-20 |
| Find all providers in zip 97624 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861412884 | Kathy Kiryang Bak | Family Medicine | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.