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425 N Santiam Hwy Lebanon OR 97355-4361 | |
(541) 451-7800 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 425 N Santiam Hwy, Lebanon, Oregon |
Authorized Official Name and Position | Becky A Pape (CEO) |
Authorized Official Contact | 5414517107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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425 N Santiam Hwy Lebanon OR 97355-4361 Ph: (541) 451-7800 | 425 N Santiam Hwy Lebanon OR 97355-4361 Ph: (541) 451-7800 |
NPI Number | 1972869121 |
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Provider Enumeration Date | 04/02/2012 |
Last Update Date | 04/02/2012 |
Identifier | Type | State | Issuer |
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1972869121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |