| Happy Doc Family Medicine | |
|
4744 Liberty Rd S Suite 120 Salem OR 97302-5181 | |
| (971) 599-1002 | |
| Not Available |
| Full Name | Happy Doc Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4744 Liberty Rd S, Salem, Oregon |
| Authorized Official Name and Position | Lara M Knudsen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9715991002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Doc Family Medicine 4744 Liberty Rd S Suite 120 Salem OR 97302-5181 Ph: (971) 599-1002 | Happy Doc Family Medicine 4744 Liberty Rd S Suite 120 Salem OR 97302-5181 Ph: (971) 599-1002 |
| NPI Number | 1306274428 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 4587906391 |
|---|---|
| Medicare Enrollment ID | O20190426001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306274428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lara M Knudsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386803682 PECOS PAC ID: 9638216062 Enrollment ID: I20110927000727 |
| Provider Name | Denise Barba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144323346 PECOS PAC ID: 2062587678 Enrollment ID: I20200325002213 |
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