Northwest Family Practice (nwfp) | |
1600 Nw 6th St Grants Pass OR 97526-1094 | |
(541) 916-5500 | |
(541) 916-5010 |
Full Name | Northwest Family Practice (nwfp) |
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Speciality | Clinic/Center |
Location | 1600 Nw 6th St, Grants Pass, Oregon |
Authorized Official Name and Position | Gail Giltner (CFNP/OWNER) |
Authorized Official Contact | 5419165500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Family Practice (nwfp) 1600 Nw 6th St Grants Pass OR 97526-1094 Ph: (541) 916-5500 | Northwest Family Practice (nwfp) 1600 Nw 6th St Grants Pass OR 97526-1094 Ph: (541) 916-5500 |
NPI Number | 1891347415 |
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Provider Enumeration Date | 07/13/2019 |
Last Update Date | 01/26/2023 |
Medicare PECOS PAC ID | 8123356003 |
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Medicare Enrollment ID | O20190830000890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891347415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Deborah L Rossel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013189331 PECOS PAC ID: 9739245580 Enrollment ID: I20090304000210 |
Provider Name | Gail F Giltner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558413856 PECOS PAC ID: 0648324947 Enrollment ID: I20090821000027 |
Provider Name | Angela M Hagerty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750972030 PECOS PAC ID: 0143623827 Enrollment ID: I20230126003417 |
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