| Oregon Family Health, Llc | |
|
607 Se Jefferson St Dallas OR 97338-2025 | |
| (503) 623-1200 | |
| (503) 623-1414 |
| Full Name | Oregon Family Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 Se Jefferson St, Dallas, Oregon |
| Authorized Official Name and Position | William Daniel Peffley (PHYSICIAN) |
| Authorized Official Contact | 5036231200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Family Health, Llc 607 Se Jefferson St Dallas OR 97338-2025 Ph: (503) 623-1200 | Oregon Family Health, Llc 607 Se Jefferson St Dallas OR 97338-2025 Ph: (503) 623-1200 |
| NPI Number | 1245428903 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 08/24/2015 |
| Medicare PECOS PAC ID | 8921195538 |
|---|---|
| Medicare Enrollment ID | O20071030000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245428903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DO27471 (Oregon) | Primary |
| Provider Name | Aaron M Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689696510 PECOS PAC ID: 9133015761 Enrollment ID: I20040305000193 |
| Provider Name | Gina P Remington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639110166 PECOS PAC ID: 0345229878 Enrollment ID: I20041007000432 |
| Provider Name | William M Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326026261 PECOS PAC ID: 9537207683 Enrollment ID: I20091110000227 |
| Provider Name | Barbara G C Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760450308 PECOS PAC ID: 3072794510 Enrollment ID: I20121128000017 |
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