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631 Elm St Sw Ste 201 Albany OR 97321-1952 | |
(541) 768-5205 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 631 Elm St Sw Ste 201, Albany, Oregon |
Authorized Official Name and Position | Daniel Keteri (CEO) |
Authorized Official Contact | 5418124102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1188 Corvallis OR 97339-1188 Ph: (541) 768-4410 | 631 Elm St Sw Ste 201 Albany OR 97321-1952 Ph: (541) 768-5205 |
NPI Number | 1104182369 |
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Provider Enumeration Date | 04/02/2012 |
Last Update Date | 05/11/2022 |
Identifier | Type | State | Issuer |
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1104182369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Lyon St Se, Albany, OR 97321 Phone: 877-522-1275 Fax: 833-888-7145 | |