| Mid-willamette Family Medicine | |
|
38829 N. Main St. Scio OR 97374-0343 | |
| (541) 971-7661 | |
| Not Available |
| Full Name | Mid-willamette Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 38829 N. Main St., Scio, Oregon |
| Authorized Official Name and Position | Flora Yao (OWNER) |
| Authorized Official Contact | 5419717661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-willamette Family Medicine 38829 N. Main St. P.o.box 343 Scio OR 97374-0343 Ph: () - | Mid-willamette Family Medicine 38829 N. Main St. Scio OR 97374-0343 Ph: (541) 971-7661 |
| NPI Number | 1437440708 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 2567621071 |
|---|---|
| Medicare Enrollment ID | O20120301000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437440708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD151908 (Oregon) | Primary |
| Provider Name | Flora Yao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740383710 PECOS PAC ID: 2668479288 Enrollment ID: I20120312000684 |
| Provider Name | Dennis William Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245201003 PECOS PAC ID: 0547429060 Enrollment ID: I20150508000972 |