| Organization Name: | THE MIDDLE WAY HEALTH CARE LLC |
| NPI Number: | 1417146549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA JOY KENDALL (BOARD MEMBER/ FNP) |
| Mailing Address: | 2615 6th St Tillamook |
| State: | OR US |
| Postal Code: | 971414114 |
| Phone Number: | 5038127367 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 01/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 094006492N1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |