| Fred Meyer | |
|
2200 Baseline St Cornelius OR 97113-8618 | |
| (503) 359-3103 | |
| (503) 359-3341 |
| Full Name | Fred Meyer |
|---|---|
| Speciality | Clinic/center |
| Location | 2200 Baseline St, Cornelius, Oregon |
| Authorized Official Name and Position | Lauren Chun (PHARMACIST) |
| Authorized Official Contact | 8085851193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Meyer 2200 Baseline St Cornelius OR 97113-8618 Ph: (503) 359-3103 | Fred Meyer 2200 Baseline St Cornelius OR 97113-8618 Ph: (503) 359-3103 |
| NPI Number | 1598216475 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598216475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | RPH-0015554 (Oregon) | Primary |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 | |
Virginia Garcia Memorial Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-352-8552 Fax: 503-352-8554 |