Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 142 E Dearborn St, Union, Oregon |
Authorized Official Name and Position | James A Mattes (PRESIDENT/CEO) |
Authorized Official Contact | 5419631464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 3290 La Grande OR 97850-7290 Ph: (541) 963-1555 | 142 E Dearborn St Union OR 97883 Ph: (541) 963-1555 |
NPI Number | 1871972729 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 08/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871972729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |