Provider Demographics
NPI:1174720601
Name:ASPEN FAMILY MEDICINE P.C.
Entity type:Organization
Organization Name:ASPEN FAMILY MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:HEMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:541-884-2900
Mailing Address - Street 1:2631 CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-5726
Mailing Address - Country:US
Mailing Address - Phone:541-884-2900
Mailing Address - Fax:541-884-5204
Practice Address - Street 1:2631 CROSBY AVE
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-5726
Practice Address - Country:US
Practice Address - Phone:541-884-2900
Practice Address - Fax:541-884-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO27233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty