| |
25045 Dunham Avenue Veneta OR 97487 | |
(541) 935-2035 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 25045 Dunham Avenue, Veneta, Oregon |
Authorized Official Name and Position | Jennifer Ocker (ADMINISTRATOR) |
Authorized Official Contact | 5419352200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 819 25045 Dunham Avenue Veneta OR 97487-0819 Ph: (541) 935-2035 | 25045 Dunham Avenue Veneta OR 97487 Ph: (541) 935-2035 |
NPI Number | 1083159503 |
---|---|
Provider Enumeration Date | 12/20/2016 |
Last Update Date | 06/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083159503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Rd, Veneta, OR 97487 Phone: 541-935-6922 Fax: 541-747-9870 | |