| |
1490 Commercial St Ste 200 Astoria OR 97103-3800 | |
(503) 741-3636 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1490 Commercial St Ste 200, Astoria, Oregon |
Authorized Official Name and Position | Carolyn Iacullo Nygaard (OWNER) |
Authorized Official Contact | 5037413636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1490 Commercial St Ste 200 Astoria OR 97103-3800 Ph: (503) 741-3636 | 1490 Commercial St Ste 200 Astoria OR 97103-3800 Ph: (503) 741-3636 |
NPI Number | 1164952495 |
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Provider Enumeration Date | 06/19/2017 |
Last Update Date | 07/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164952495 | NPI | - | NPPES |
500642404 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Oregon) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Thomas S. Duncan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 18th St, Astoria, OR 97103 Phone: 503-325-9131 Fax: 888-371-4110 | |
North Coast Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Commercial St Ste 103, Astoria, OR 97103 Phone: 503-568-7497 | |
Pacific Family Medicine Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Exchange St, Ste 190, Astoria, OR 97103 Phone: 503-325-5300 Fax: 503-325-5400 |