| Gastroenterology Specialists Of Oregon Pc | |
|
1508 Division St Suite 15 Oregon City OR 97045-1583 | |
| (503) 657-5555 | |
| (503) 657-6502 |
| Full Name | Gastroenterology Specialists Of Oregon Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1508 Division St, Oregon City, Oregon |
| Authorized Official Name and Position | Barbara G Tauscher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9712242457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialists Of Oregon Pc 1508 Division St Suite 15 Oregon City OR 97045-1583 Ph: (503) 657-5555 | Gastroenterology Specialists Of Oregon Pc 1508 Division St Suite 15 Oregon City OR 97045-1583 Ph: (503) 657-5555 |
| NPI Number | 1164464616 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164464616 | NPI | - | NPPES |
| 171447 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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