Housecall Medical Services Inc | |
511 Main St Suite 112 Oregon City OR 97045-1830 | |
(503) 344-6717 | |
(503) 345-9867 |
Full Name | Housecall Medical Services Inc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 511 Main St, Oregon City, Oregon |
Authorized Official Name and Position | Monica Ferguson (CEO) |
Authorized Official Contact | 5033587908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Housecall Medical Services Inc Po Box 945 Lake Oswego OR 97034-0103 Ph: (503) 344-6717 | Housecall Medical Services Inc 511 Main St Suite 112 Oregon City OR 97045-1830 Ph: (503) 344-6717 |
NPI Number | 1336596113 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 05/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336596113 | NPI | - | NPPES |
243056 | Medicaid | OR | |
200650008NP | Other | OR | NP LICENSE |
R178969 | Other | OR | MEDICARE ID INDIV |
1932154366 | Other | OR | NPI INDIV |
500678021 | Medicaid | OR | |
1093053431 | Other | OR | NPI GROUP HMS |
R178970 | Other | OR | MEDICARE ID GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 200650008NP (Oregon) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 200650008NP (Oregon) | Secondary |
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