Pediatric Specialists Of Pendleton, Llc | |
2461 Sw Perkins Ave Pendleton OR 97801-4301 | |
(514) 276-0250 | |
(541) 276-0253 |
Full Name | Pediatric Specialists Of Pendleton, Llc |
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Speciality | Clinic/Center |
Location | 2461 Sw Perkins Ave, Pendleton, Oregon |
Authorized Official Name and Position | Susan Platt (OFFICE MANAGER) |
Authorized Official Contact | 5412760250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pediatric Specialists Of Pendleton, Llc 2461 Sw Perkins Ave Pendleton OR 97801-4301 Ph: (514) 276-0250 | Pediatric Specialists Of Pendleton, Llc 2461 Sw Perkins Ave Pendleton OR 97801-4301 Ph: (514) 276-0250 |
NPI Number | 1952630576 |
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Provider Enumeration Date | 12/10/2009 |
Last Update Date | 05/03/2013 |
Medicare PECOS PAC ID | 1456409424 |
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Medicare Enrollment ID | O20090430000283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952630576 | NPI | - | NPPES |
500612592 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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