| Organization Name: | DR PEPEL FAMILY PRACTICE |
| NPI Number: | 1043516289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIHAELA PEPEL (OWNER) |
| Mailing Address: | 15880 Quarry Rd Lake Oswego |
| State: | OR US |
| Postal Code: | 970353336 |
| Phone Number: | 5032323302 |
| Fax Number: | 5032002895 |
| NPI Enumeration Date: | 02/06/2011 |
| NPI Last Update Date: | 02/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 393160-96 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |