Fitzgerald Family Medicine | |
289 E Ellendale Ave Ste 602 Dallas OR 97338-1570 | |
(971) 612-1588 | |
(503) 831-3215 |
Full Name | Fitzgerald Family Medicine |
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Speciality | Clinic/center - Primary Care |
Location | 289 E Ellendale Ave Ste 602, Dallas, Oregon |
Authorized Official Name and Position | Erin Sanford Fitzgerald (NURSE PRACTITIONER) |
Authorized Official Contact | 9716121588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fitzgerald Family Medicine 170 W Ellendale Ave Ste 103 Dallas OR 97338-1456 Ph: (971) 612-1588 | Fitzgerald Family Medicine 289 E Ellendale Ave Ste 602 Dallas OR 97338-1570 Ph: (971) 612-1588 |
NPI Number | 1255820239 |
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Provider Enumeration Date | 05/06/2018 |
Last Update Date | 05/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255820239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2015011081 (Oregon) | Primary |
Wvp Flaming Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 | |
Oregon Family Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Emurgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 E Ellendale Ave Ste B, Dallas, OR 97338 Phone: 503-623-3199 Fax: 503-623-3398 | |
Flaming Medical Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 Fax: 503-623-5293 | |
Salveo Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E Ellendale Ave Ste 2, Dallas, OR 97338 Phone: 503-623-8151 Fax: 503-623-8185 | |
Salem Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 |