Family Medical Associates Pc | |
600 N 5th St Lebanon OR 97355-2876 | |
(503) 784-5905 | |
(541) 644-5000 |
Full Name | Family Medical Associates Pc |
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Speciality | Family Medicine |
Location | 600 N 5th St, Lebanon, Oregon |
Authorized Official Name and Position | Robin Lynden Richardson (OWNER) |
Authorized Official Contact | 5032310014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Associates Pc 5646 Se Hillwood Cir Milwaukie OR 97267-4141 Ph: (503) 784-5905 | Family Medical Associates Pc 600 N 5th St Lebanon OR 97355-2876 Ph: (503) 784-5905 |
NPI Number | 1336313923 |
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Provider Enumeration Date | 04/15/2008 |
Last Update Date | 11/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336313923 | NPI | - | NPPES |
0000WCRDC | Other | MEDICARE # | |
161970 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO15187 (Oregon) | Primary |