| Pediatric Specialists Of Pendleton, Llc | |
|
1600 Se Court Pl Suite, L01 Pendleton OR 97801-3281 | |
| (541) 276-0250 | |
| (541) 276-0253 |
| Full Name | Pediatric Specialists Of Pendleton, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 Se Court Pl, Pendleton, Oregon |
| Authorized Official Name and Position | Donald Clifford Guenther (MANAGER) |
| Authorized Official Contact | 5412760250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Specialists Of Pendleton, Llc 1600 Se Court Pl Suite, L01 Pendleton OR 97801-3281 Ph: (541) 276-0250 | Pediatric Specialists Of Pendleton, Llc 1600 Se Court Pl Suite, L01 Pendleton OR 97801-3281 Ph: (541) 276-0250 |
| NPI Number | 1689739310 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689739310 | NPI | - | NPPES |
| 288044 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11027630 (Oregon) | Primary |
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St.anthony Hospital We Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-966-0508 | |
Pendleton Family Practice And Sports Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Se Dorion Ave, Pendleton, OR 97801 Phone: 541-966-8384 Fax: 541-966-8387 | |
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