Cynthia Worden Llc | |
15 82nd Dr Ste 100 Gladstone OR 97027-2550 | |
(503) 831-9231 | |
(503) 656-8080 |
Full Name | Cynthia Worden Llc |
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Speciality | Family Medicine |
Location | 15 82nd Dr Ste 100, Gladstone, Oregon |
Authorized Official Name and Position | Cynthia Worden (PRESIDNET) |
Authorized Official Contact | 5039530126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cynthia Worden Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 831-9231 | Cynthia Worden Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 831-9231 |
NPI Number | 1295969608 |
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Provider Enumeration Date | 05/13/2009 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 9830247253 |
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Medicare Enrollment ID | O20180125000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295969608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO27930 (Oregon) | Primary |
Provider Name | Cynthia M Worden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982877841 PECOS PAC ID: 4688722093 Enrollment ID: I20090423000110 |
Provider Name | Kenneth J Meigs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881783090 PECOS PAC ID: 0941497697 Enrollment ID: I20101208000183 |
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