| Pendleton Family Medicine | |
|
2450 Sw Perkins Ave Pendleton OR 97801-4302 | |
| (541) 276-1700 | |
| (541) 276-6327 |
| Full Name | Pendleton Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2450 Sw Perkins Ave, Pendleton, Oregon |
| Authorized Official Name and Position | Jessica M Reagan (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5419666136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pendleton Family Medicine Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119 | Pendleton Family Medicine 2450 Sw Perkins Ave Pendleton OR 97801-4302 Ph: (541) 276-1700 |
| NPI Number | 1386145993 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 8325941446 |
|---|---|
| Medicare Enrollment ID | O20180529002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386145993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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