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15630 Se 90 Ave. Clackamas OR 97015-9729 | |
(503) 657-3329 | |
(503) 210-7905 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15630 Se 90 Ave., Clackamas, Oregon |
Authorized Official Name and Position | Gene George Hong (PRESIDENT) |
Authorized Official Contact | 5036573329 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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15630 Se 90 Ave. Clackamas OR 97015-9729 Ph: (503) 657-3329 | 15630 Se 90 Ave. Clackamas OR 97015-9729 Ph: (503) 657-3329 |
NPI Number | 1992978118 |
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Provider Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |
Medicare PECOS PAC ID | 4486084381 |
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Medicare Enrollment ID | O20200416002340 |
Identifier | Type | State | Issuer |
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1992978118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | MD16691 (Oregon) | Primary |
Provider Name | Gene George Hong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417905506 PECOS PAC ID: 5395175293 Enrollment ID: I20200416003276 |
Living Well Counseling Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 165, Clackamas, OR 97015 Phone: 503-770-0448 | |
Outside In Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9852 Se Empire Ct, Clackamas, OR 97015 Phone: 503-535-3800 | |