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3795 River Rd N Ste B Keizer OR 97303-4826 | |
(503) 390-0082 | |
(503) 390-0172 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3795 River Rd N, Keizer, Oregon |
Authorized Official Name and Position | Cindy Ann Bowling (PRESIDENT) |
Authorized Official Contact | 5033900082 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3795 River Rd N Ste B Keizer OR 97303-4826 Ph: (503) 390-0082 | 3795 River Rd N Ste B Keizer OR 97303-4826 Ph: (503) 390-0082 |
NPI Number | 1285985119 |
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Provider Enumeration Date | 10/02/2012 |
Last Update Date | 10/06/2016 |
Medicare PECOS PAC ID | 4486807260 |
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Medicare Enrollment ID | O20130102000438 |
Identifier | Type | State | Issuer |
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1285985119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 200950043-NP (Oregon) | Primary |
Provider Name | Cynthia A Bowling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528292752 PECOS PAC ID: 4082871611 Enrollment ID: I20120208000928 |
Mid Valley Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Dietz Ave Ne, Keizer, OR 97303 Phone: 503-393-0540 Fax: 503-393-3695 | |
Wvp Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978 | |
Keizer Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978 |