Eagle Cap Clinic Pc

Health Provider Information

Eagle Cap Clinic Pc organization have npi 1356424451, taxonomy code is 208D00000X with license number is in . This Business address located in PO Box 69, Baker City, OR 97814 Oregon.

Authorized Official

Name: Alanko A Randy

Position: Owner

Phone: (541) 523-4497

Practice Location

Address: 3705 Midway Dr, Baker City, OR 97814

Phone: (541) 523-4497

Business Location

Address: PO Box 69, Baker City, OR 97814

Phone: (541) 523-4497

Fax: (541) 523-5471

Taxonomy

Taxonomy Code: 208D00000X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 10/23/2006

Last Update: Mon, 23 Oct 2006