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BROOKINGS HARBOR FAMILY PRACTICE CLINIC
NPI 1942415450
General Practice in Brookings, OR

Active since May 10, 2007
97825 SHOPPING CENTER AVE., BROOKINGS, OR 97415(541) 469-2330 Get Directions Write a Review

NPPES record last updated: September 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookings Harbor Family Practice Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKINGS HARBOR FAMILY PRACTICE CLINIC (NPI 1942415450) is a healthcare organization registered as a general practice in Brookings, Oregon and active in the NPI registry since May 2007. The organization lists Kenneth Manuele, D.o., as its authorized official.

NPPES Registry Identity

NPI1942415450
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBROOKINGS HARBOR FAMILY PRACTICE CLINIC
Location Address97825 SHOPPING CENTER AVE.Brookings, OR 97415
Mailing AddressPo Box 7529Brookings, OR 97415-0344 · (541) 469-2330
Phone(541) 469-2330
Organization SubpartNo
Authorized OfficialKenneth ManueleD.o. · (541) 469-2330
Enumeration DateMay 10, 2007
Last NPPES UpdateSeptember 15, 2007
✔ NPI 1942415450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · 19106
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
97825 SHOPPING CENTER AVE., Brookings, OR 97415
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Other Identifiers 2

Medicare PINR113115OR
Medicare UPINE08852OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACEY S KATHER NP
Nurse Practitioner (Family)
97825 SHOPPING CENTER AVE.
BROOKINGS, OR 97415
Curry County (541) 412-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookings Harbor Family Practice Clinic's NPI number?

The NPI number for Brookings Harbor Family Practice Clinic is 1942415450. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Brookings Harbor Family Practice Clinic located?

Brookings Harbor Family Practice Clinic is located at 97825 Shopping Center Ave., Brookings, OR 97415. The listed phone number is (541) 469-2330.

What is Brookings Harbor Family Practice Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Brookings Harbor Family Practice Clinic was last updated on September 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.