| |
1050 Southgate Ste A, Pendleton, OR 97801-3977 | |
(541) 276-4752 | |
(541) 278-2918 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1050 Southgate Ste A, Pendleton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003941873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 152W0000X (Oregon) | Secondary |
207W00000X | Ophthalmology | 207W0000X (Oregon) | Primary |
Provider Name | Bart A Adams |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851344667 PECOS PAC ID: 7416938972 Enrollment ID: I20120509000311 |
Mailing Address | Practice Location Address |
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1050 Southgate Ste A, Pendleton, OR 97801-3977 Ph: (541) 276-4752 | 1050 Southgate Ste A, Pendleton, OR 97801-3977 Ph: (541) 276-4752 |