OrganizationActive
Mae Medical
NPI 1164100756 · Family Medicine Physician · Lakeview, OR
Provider details
- NPI number
- 1164100756
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Johnson, Owner/Manager(541) 600-2535
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
733 N 1st St
Lakeview, OR 97630-1507
Phone: (541) 600-2535
Approximate (ZIP-level) locationGet directions
Mailing address
93397 Dairy Creek Ln
Lakeview, OR 97630-9165
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.