Mid Valley Family Physicians | |
550 Dietz Ave Ne Keizer OR 97303-4615 | |
(503) 393-0540 | |
(503) 393-3695 |
Full Name | Mid Valley Family Physicians |
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Speciality | Family Medicine |
Location | 550 Dietz Ave Ne, Keizer, Oregon |
Authorized Official Name and Position | Ronald M Palm (PHYSICIAN OWNER) |
Authorized Official Contact | 5033930540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mid Valley Family Physicians 550 Dietz Ave Ne Keizer OR 97303-4615 Ph: (503) 393-0540 | Mid Valley Family Physicians 550 Dietz Ave Ne Keizer OR 97303-4615 Ph: (503) 393-0540 |
NPI Number | 1225217995 |
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Provider Enumeration Date | 10/30/2007 |
Last Update Date | 11/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225217995 | NPI | - | NPPES |
232446 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D025302 (Oregon) | Primary |
207Q00000X | Family Medicine | D025292 (Oregon) | Secondary |
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