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2474 Sw Perkins Ave Pendleton OR 97801-4302 | |
| (541) 276-1700 | |
| (541) 276-6327 |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2474 Sw Perkins Ave, Pendleton, Oregon |
| Authorized Official Name and Position | Jessica M Reagan (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5419666136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1517 Pendleton OR 97801-0410 Ph: (877) 708-1119 | 2474 Sw Perkins Ave Pendleton OR 97801-4302 Ph: (541) 276-1700 |
| NPI Number | 1083262703 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083262703 | NPI | - | NPPES |
| 130225 | Medicaid | OR |
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