| Copes Clinic | |
|
715 Sw Dorion Ave Pendleton OR 97801-2070 | |
| (541) 429-8844 | |
| Not Available |
| Full Name | Copes Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 Sw Dorion Ave, Pendleton, Oregon |
| Authorized Official Name and Position | Debra Carnes (BILLING MANAGER) |
| Authorized Official Contact | 5414298049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copes Clinic Po Box 882 Pendleton OR 97801-0882 Ph: (541) 429-8844 | Copes Clinic 715 Sw Dorion Ave Pendleton OR 97801-2070 Ph: (541) 429-8844 |
| NPI Number | 1356971493 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 7113357682 |
|---|---|
| Medicare Enrollment ID | O20200423002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356971493 | NPI | - | NPPES |
| 50077491 | Medicaid | OR |
| Provider Name | Daniel Leo Marier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528058369 PECOS PAC ID: 5092842278 Enrollment ID: I20100420000374 |
| Provider Name | Dana A Brannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386732014 PECOS PAC ID: 8325140957 Enrollment ID: I20171211000429 |
| Provider Name | Ashley Rae Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082046 PECOS PAC ID: 1456683804 Enrollment ID: I20191104002983 |
| Provider Name | Annmarie Louisa Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235520842 PECOS PAC ID: 9537478607 Enrollment ID: I20200331003437 |
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