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244 Nw 12th St Newport OR 97365-3210 | |
| (541) 265-4673 | |
| (541) 265-4066 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 244 Nw 12th St, Newport, Oregon |
| Authorized Official Name and Position | Billy Gregory (PRESIDENT, SENIOR PASTOR) |
| Authorized Official Contact | 5412654673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1068 Newport OR 97365-0085 Ph: (541) 265-4673 | 244 Nw 12th St Newport OR 97365-3210 Ph: (541) 265-4673 |
| NPI Number | 1437313285 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437313285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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