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3780 Se Spy Glass Ridge Dr Lincoln City OR 97367-1939 | |
(541) 996-2311 | |
(541) 557-1643 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3780 Se Spy Glass Ridge Dr, Lincoln City, Oregon |
Authorized Official Name and Position | Valerie Jean Davis (DEPUTY DIRECTOR) |
Authorized Official Contact | 5412650434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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36 Sw Nye St Newport OR 97365-3821 Ph: (541) 265-0468 | 3780 Se Spy Glass Ridge Dr Lincoln City OR 97367-1939 Ph: (541) 996-2311 |
NPI Number | 1396071734 |
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Provider Enumeration Date | 10/20/2009 |
Last Update Date | 11/30/2022 |
Identifier | Type | State | Issuer |
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1396071734 | NPI | - | NPPES |
213144 | Medicaid | OR |
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900 | |