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1475 Mt. Hood Ave Woodburn OR 97071 | |
(503) 982-2174 | |
(503) 982-4599 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1475 Mt. Hood Ave, Woodburn, Oregon |
Authorized Official Name and Position | Linda Hoff (CFO) |
Authorized Official Contact | 5034155730 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 3417 Portland OR 97208-3417 Ph: (503) 873-1500 | 1475 Mt. Hood Ave Woodburn OR 97071 Ph: (503) 982-2174 |
NPI Number | 1679686463 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 05/11/2017 |
Medicare PECOS PAC ID | 8921901877 |
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Medicare Enrollment ID | O20050616000345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679686463 | NPI | - | NPPES |
213081 | Medicaid | OR | |
R0000WFBRZ | Other | OR | MEDICARE- PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Woodburn Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-467-5588 | |
Silverton Hospital Imediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 971-983-5360 Fax: 971-983-5370 | |
Beardall Acupuncture And Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 N Pacific Hwy, Woodburn, OR 97071 Phone: 503-982-6925 |