Pendleton Primary Care Clinic | |
1100 Southgate Ste 9 Pendleton OR 97801-3940 | |
(541) 567-1137 | |
(541) 567-2336 |
Full Name | Pendleton Primary Care Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 1100 Southgate Ste 9, Pendleton, Oregon |
Authorized Official Name and Position | Tami J Foster (OFFICE MANAGER) |
Authorized Official Contact | 5415671137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pendleton Primary Care Clinic 236 E Newport Ave Hermiston OR 97838-2449 Ph: (541) 567-1137 | Pendleton Primary Care Clinic 1100 Southgate Ste 9 Pendleton OR 97801-3940 Ph: (541) 567-1137 |
NPI Number | 1013254432 |
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Provider Enumeration Date | 01/04/2013 |
Last Update Date | 05/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013254432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | MD07786 (Oregon) | Primary |
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