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Eduardo Erasto Santiago Ongkeko, MD
Family Medicine Physician in Coos Bay, Oregon
NPI 1831342773

Eduardo Erasto Santiago Ongkeko is a Family Medicine Physician based in Coos Bay, OR. Eduardo Erasto Santiago Ongkeko practices in Coos Bay, OR and has the professional credentials of MD. The NPI Number for Eduardo Erasto Santiago Ongkeko is 1831342773 and holds a License No. MT192364 (Oregon).

The current practice location address for Eduardo Erasto Santiago Ongkeko is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151 and via fax at 541-266-4565.

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-2045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831342773
Provider Name
Eduardo Erasto Santiago Ongkeko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1900 Woodland Dr, Coos Bay, OR, 97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4565
Provider Enumeration Date
10/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161133 01 OR NBMC-MAIN GROUP MEDICAID
500635456 05 OR
1407812365 01 OR NBMC-MAIN GROUP NPI
93-0635514 01 OR NBMC-MAIN GROUP TAX ID FOR BILLING
R0000WFBTV 01 OR NBMC-MAIN GROUP MEDICARE
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4565
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4565
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MT192364 (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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