| Camas Swale Medical Clinic Pc | |
|
170 Melton Rd Creswell OR 97426-9453 | |
| (541) 658-5301 | |
| Not Available |
| Full Name | Camas Swale Medical Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 170 Melton Rd, Creswell, Oregon |
| Authorized Official Name and Position | Sarah Cox (OFFICE MANAGER) |
| Authorized Official Contact | 5416585301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camas Swale Medical Clinic Pc Po Box 1060 Creswell OR 97426-1060 Ph: (541) 658-5301 | Camas Swale Medical Clinic Pc 170 Melton Rd Creswell OR 97426-9453 Ph: (541) 658-5301 |
| NPI Number | 1346762861 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 10/31/2017 |
| Medicare PECOS PAC ID | 5092073668 |
|---|---|
| Medicare Enrollment ID | O20180103002721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346762861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD27022 (Oregon) | Primary |
| Provider Name | Damon B Armitage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225176191 PECOS PAC ID: 8820244338 Enrollment ID: I20120815000430 |
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