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728 Molalla Ave Oregon City OR 97045-2799 | |
(503) 941-3033 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 728 Molalla Ave, Oregon City, Oregon |
Authorized Official Name and Position | Blain A. West (CFO& COO) |
Authorized Official Contact | 5039413028 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7320 Sw Hunziker Rd Ste 300 Portland OR 97223-2302 Ph: (503) 941-3033 | 728 Molalla Ave Oregon City OR 97045-2799 Ph: (503) 941-3033 |
NPI Number | 1457902561 |
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Provider Enumeration Date | 09/20/2019 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 8426227893 |
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Medicare Enrollment ID | O20200506002592 |
Identifier | Type | State | Issuer |
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1457902561 | NPI | - | NPPES |
500670049 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Oregon City Family Practice Clinic,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 John Adams St, Oregon City, OR 97045 Phone: 503-656-1484 Fax: 503-650-1976 | |
24 On Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Samuel Sabo Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18171 Waldow Rd, Oregon City, OR 97045 Phone: 503-655-6044 Fax: 503-575-9171 | |