Bryce Willardson, Llc | |
83960 Spring Hill Ln Pleasant Hill OR 97455-9728 | |
(801) 824-4334 | |
Not Available |
Full Name | Bryce Willardson, Llc |
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Speciality | Family Medicine |
Location | 83960 Spring Hill Ln, Pleasant Hill, Oregon |
Authorized Official Name and Position | Julie Willardson (OWNER) |
Authorized Official Contact | 8018244334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bryce Willardson, Llc 83960 Spring Hill Ln Pleasant Hill OR 97455-9728 Ph: (801) 824-4334 | Bryce Willardson, Llc 83960 Spring Hill Ln Pleasant Hill OR 97455-9728 Ph: (801) 824-4334 |
NPI Number | 1912485574 |
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Provider Enumeration Date | 08/04/2018 |
Last Update Date | 08/04/2018 |
Identifier | Type | State | Issuer |
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1912485574 | NPI | - | NPPES |
5006740 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 201404741 (Oregon) | Primary |