| |
685 Evergreen Rd Woodburn OR 97071 | |
(503) 982-2212 | |
(503) 982-2214 |
Full Name | |
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Speciality | Family Medicine |
Location | 685 Evergreen Rd, Woodburn, Oregon |
Authorized Official Name and Position | Patrick Charles Mcdonald (PRESIDENT) |
Authorized Official Contact | 5039822212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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685 Evergreen Rd Woodburn OR 97071 Ph: (503) 982-2212 | 685 Evergreen Rd Woodburn OR 97071 Ph: (503) 982-2212 |
NPI Number | 1235141086 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 09/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235141086 | NPI | - | NPPES |
207217 | Medicaid | OR | |
067900000 | Other | BC | |
110204464 | Other | RR MC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD13817 (Oregon) | Primary |
Woodburn Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-467-5588 | |
Silverton Hospital Imediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 971-983-5360 Fax: 971-983-5370 | |
Beardall Acupuncture And Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 N Pacific Hwy, Woodburn, OR 97071 Phone: 503-982-6925 |