| Organization Name: | OAK MEDICAL CLINIC PLLC |
| NPI Number: | 1033273487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERNIE L ATKINS (MANAGER) |
| Mailing Address: | 201 A St Se Quincy |
| State: | WA US |
| Postal Code: | 988481100 |
| Phone Number: | 5097877662 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | OP00001372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |