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471 Sw Belair Dr Clatskanie OR 97016-7415 | |
(503) 325-8315 | |
(503) 468-0193 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 471 Sw Belair Dr, Clatskanie, Oregon |
Authorized Official Name and Position | James Coffee (CEO) |
Authorized Official Contact | 5033258315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 239 Astoria OR 97103-0239 Ph: (503) 325-8315 | 471 Sw Belair Dr Clatskanie OR 97016-7415 Ph: (503) 325-8315 |
NPI Number | 1801284914 |
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Provider Enumeration Date | 12/26/2014 |
Last Update Date | 12/26/2014 |
Identifier | Type | State | Issuer |
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1801284914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clatskanie School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Sw Belair Dr, Clatskanie, OR 97016 Phone: 503-325-8315 Fax: 503-468-0193 |