OrganizationActive
Chiloquin Family Practice Inc PC
NPI 1053545590 · Family Medicine Physician · Chiloquin, OR
Provider details
- NPI number
- 1053545590
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lawrence Cohen, Owner(541) 783-3412
- License
- MD18099 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2825 Ranch Rd
Chiloquin, OR 97624-5749
Phone: (541) 783-3412
Fax: (541) 783-3412
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 331
Chiloquin, OR 97624-0331
Registry dates
- Enumerated
- 2009-05-13
- Last updated
- 2009-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.