Kenneth Meigs Do Llc | |
15 82nd Dr Ste 100 Gladstone OR 97027-2550 | |
(503) 831-9231 | |
(503) 656-8080 |
Full Name | Kenneth Meigs Do Llc |
---|---|
Speciality | Clinic/Center |
Location | 15 82nd Dr Ste 100, Gladstone, Oregon |
Authorized Official Name and Position | Kenneth J Meigs (OWNER) |
Authorized Official Contact | 5035224605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kenneth Meigs Do Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 522-4605 | Kenneth Meigs Do Llc 15 82nd Dr Ste 100 Gladstone OR 97027-2550 Ph: (503) 831-9231 |
NPI Number | 1679294136 |
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Provider Enumeration Date | 09/02/2022 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 3476920679 |
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Medicare Enrollment ID | O20221101000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679294136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kenneth J Meigs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881783090 PECOS PAC ID: 0941497697 Enrollment ID: I20101208000183 |
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