| Grants Pass Imaging And Diagnotic Center, Llc | |
|
1619 Nw Hawthorne Ave Ste 204 Grants Pass OR 97526-6009 | |
| (541) 472-5154 | |
| (541) 472-5178 |
| Full Name | Grants Pass Imaging And Diagnotic Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1619 Nw Hawthorne Ave Ste 204, Grants Pass, Oregon |
| Authorized Official Name and Position | David Clague Oehling (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5414725154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grants Pass Imaging And Diagnotic Center, Llc 1619 Nw Hawthorne Ave Ste 204 Grants Pass OR 97526-6009 Ph: (541) 472-5154 | Grants Pass Imaging And Diagnotic Center, Llc 1619 Nw Hawthorne Ave Ste 204 Grants Pass OR 97526-6009 Ph: (541) 472-5154 |
| NPI Number | 1659307973 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659307973 | NPI | - | NPPES |
| 170137 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Oregon) | Primary |
Bogard Family And Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527 Phone: 541-471-4930 Fax: 541-471-1331 | |
James Lee Calvert M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Nw Bunnell Ave, Grants Pass, OR 97526 Phone: 541-479-4111 Fax: 541-955-1621 | |
Grants Pass Chiropractic Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 Ne 7th St, Grants Pass, OR 97526 Phone: 541-479-1982 Fax: 541-479-0621 | |
Kurt A Brewster Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne 6th Street, Grants Pass, OR 97526 Phone: 541-474-1020 Fax: 541-474-1108 | |
Mountainview Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 Ne 6th St, Grants Pass, OR 97526 Phone: 541-471-2701 Fax: 541-471-1166 | |
Brian Hancock Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-2721 Fax: 541-474-0056 | |
Karen Joyce Hoskins Msn/fnp Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St Ste C, Grants Pass, OR 97526 Phone: 541-476-7000 Fax: 541-476-7000 |