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38843 Dexter Rd Dexter OR 97431-9600 | |
| (541) 767-5200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38843 Dexter Rd, Dexter, Oregon |
| Authorized Official Name and Position | Wendy Aplund (REGION CFO) |
| Authorized Official Contact | 5416863968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 569 Eugene OR 97440-0569 Ph: () - | 38843 Dexter Rd Dexter OR 97431-9600 Ph: (541) 767-5200 |
| NPI Number | 1104264068 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104264068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
The Lakeside Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38843 Dexter Rd, Dexter, OR 97431 Phone: 541-937-2134 Fax: 541-937-1370 | |