| |
212 4th St Hood River OR 97031-2082 | |
(541) 400-0266 | |
(800) 796-7703 |
Full Name | |
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Speciality | Clinic/Center |
Location | 212 4th St, Hood River, Oregon |
Authorized Official Name and Position | Suzanne M Sarmasti (OWNER) |
Authorized Official Contact | 5414000266 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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212 4th St Hood River OR 97031-2082 Ph: (541) 400-0266 | 212 4th St Hood River OR 97031-2082 Ph: (541) 400-0266 |
NPI Number | 1306994868 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0042313702 |
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Medicare Enrollment ID | O20070319000014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306994868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 71-3701 (Oregon) | Primary |
Provider Name | Suzanne M Sarmasti |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902954621 PECOS PAC ID: 1850493339 Enrollment ID: I20070301000540 |
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