| Davies Clinic, Pc | |
|
345 N. Grant St Canby OR 97013 | |
| (503) 266-2066 | |
| (503) 263-8719 |
| Full Name | Davies Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 345 N. Grant St, Canby, Oregon |
| Authorized Official Name and Position | Deona Lynn Bridgeman (PRESIDENT) |
| Authorized Official Contact | 5032662066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davies Clinic, Pc 345 N. Grant St Canby OR 97013 Ph: (503) 266-2066 | Davies Clinic, Pc 345 N. Grant St Canby OR 97013 Ph: (503) 266-2066 |
| NPI Number | 1669679932 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669679932 | NPI | - | NPPES |
| 171066 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Providence Medical Group Canby Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Hazel Dell Way, Canby, OR 97013 Phone: 503-263-9500 Fax: 503-263-1383 | |
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