Jefferson Medical Clinic | |
294 2nd St N Jefferson OR 97352 | |
(541) 327-2380 | |
(541) 327-2382 |
Full Name | Jefferson Medical Clinic |
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Speciality | Family Medicine |
Location | 294 2nd St N, Jefferson, Oregon |
Authorized Official Name and Position | Lance B Large (OWNER) |
Authorized Official Contact | 5034006140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jefferson Medical Clinic 1881 W Washington St Stayton OR 97383-9511 Ph: (503) 400-6140 | Jefferson Medical Clinic 294 2nd St N Jefferson OR 97352 Ph: (541) 327-2380 |
NPI Number | 1285967133 |
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Provider Enumeration Date | 09/10/2009 |
Last Update Date | 06/15/2022 |
Identifier | Type | State | Issuer |
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1285967133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |