| Cornerstone Pediatrics Llc | |
|
955 Se 4th St Ste B Hermiston OR 97838-2666 | |
| (817) 733-4691 | |
| Not Available |
| Full Name | Cornerstone Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 955 Se 4th St Ste B, Hermiston, Oregon |
| Authorized Official Name and Position | Rachel Michelle Brennan (BUSINESS OWNER, PEDIATRICIAN) |
| Authorized Official Contact | 8177334691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Pediatrics Llc 955 Se 4th St Ste B Hermiston OR 97838-2666 Ph: (817) 733-4691 | Cornerstone Pediatrics Llc 955 Se 4th St Ste B Hermiston OR 97838-2666 Ph: (817) 733-4691 |
| NPI Number | 1154867398 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154867398 | NPI | - | NPPES |
| 500689937 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO172490 (Oregon) | Primary |
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