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KLAMATH ORTHOPEDIC CLINIC PC NPI 1811919913


NPI Information

NPI: 1811919913
Provider Name: KLAMATH ORTHOPEDIC CLINIC PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS, OR
ZIP 97601
Phone: (541) 884-7746
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KLAMATH ORTHOPEDIC CLINIC PC is a specialist in Klamath Falls, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KLAMATH ORTHOPEDIC CLINIC PC NPI is 1811919913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 BRYANT WILLIAMS DR
SUITE 1
KLAMATH FALLS, OR
ZIP 97601-120
Phone: (541) 884-7746
Fax: (541) 274-5705

The provider's authorized official is Jeannette Gansberg .
The authorized official title is Executive Director and has the following contact phone number (541) 274-2902.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01815487OTHEROREGONRAIL ROAD MEDICARE
2CO3632OTHEROREGONRAIL ROAD MEDICARE
3P01702513OTHEROREGONRAILROAD MEDICARE
4500679872MEDICAIDOREGON
5213618MEDICAIDOREGON
6R193228MEDICARE PINOREGON
7R189452MEDICARE PINOREGON
8500721344MEDICAIDOREGON
9284783MEDICAIDOREGON
107233750001MEDICARE NSCOREGON
11R132415MEDICARE PINOREGON
12200010673OTHEROREGONRAILROAD MEDICARE
13002635000OTHEROREGONBLUE CROSS
14098830MEDICAIDOREGON
15R111063MEDICARE PINOREGON
16R130642MEDICARE PINOREGON
17200044954OTHEROREGONRAILROAD MEDICARE
18274622MEDICAIDOREGON
19R138719MEDICARE PINOREGON
20261198MEDICAIDOREGON
21040592MEDICAIDOREGON
22P01432107OTHEROREGONRAILROAD MEDICARE
23R131950MEDICARE PINOREGON
24R178621MEDICARE PINOREGON
25R105161MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.