| Mark Allen Rondeau | |
|
124 Nw Midland Ave Ste J Grants Pass OR 97526-1269 | |
| (541) 476-8859 | |
| (541) 955-8611 |
| Full Name | Mark Allen Rondeau |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Nw Midland Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Melony Dechenne (BOOKKEEPER) |
| Authorized Official Contact | 5414768859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Allen Rondeau 124 Nw Midland Ave Ste J Grants Pass OR 97526-1269 Ph: (541) 476-8859 | Mark Allen Rondeau 124 Nw Midland Ave Ste J Grants Pass OR 97526-1269 Ph: (541) 476-8859 |
| NPI Number | 1861674780 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861674780 | NPI | - | NPPES |
| 288514 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22314 (Oregon) | Primary |
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