| M3 Alliance Llc | |
|
245 Nw Harwood St Prineville OR 97754-1445 | |
| (541) 209-0017 | |
| Not Available |
| Full Name | M3 Alliance Llc |
|---|---|
| Speciality | Social Worker |
| Location | 245 Nw Harwood St, Prineville, Oregon |
| Authorized Official Name and Position | Hope M Porterfield (OWNER/PROVIDER) |
| Authorized Official Contact | 5412090017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M3 Alliance Llc Po Box 178 Prineville OR 97754-0178 Ph: (541) 209-0017 | M3 Alliance Llc 245 Nw Harwood St Prineville OR 97754-1445 Ph: (541) 209-0017 |
| NPI Number | 1508534785 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 10/31/2021 |
| Certification Date | 10/31/2021 |
| Medicare PECOS PAC ID | 9436541489 |
|---|---|
| Medicare Enrollment ID | O20220125000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508534785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Hope Marie Porterfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720395809 PECOS PAC ID: 0345646048 Enrollment ID: I20210903001634 |
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