Northwest Pediatrics And Adolescent Medicine, Llc | |
810 13th St Hood River OR 97031-1210 | |
(541) 386-2300 | |
(541) 436-4113 |
Full Name | Northwest Pediatrics And Adolescent Medicine, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 810 13th St, Hood River, Oregon |
Authorized Official Name and Position | Richard Martin (PEDIATRICIAN) |
Authorized Official Contact | 5413862300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwest Pediatrics And Adolescent Medicine, Llc 810 13th St Hood River OR 97031-1210 Ph: (541) 386-2300 | Northwest Pediatrics And Adolescent Medicine, Llc 810 13th St Hood River OR 97031-1210 Ph: (541) 386-2300 |
NPI Number | 1811276157 |
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Provider Enumeration Date | 08/04/2011 |
Last Update Date | 01/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811276157 | NPI | - | NPPES |
500621998 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | DO27031 (Oregon) | Primary |
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