Prohealth Family Medicine | |
1410 Oak St Suite 102 Eugene OR 97401-4604 | |
(541) 228-3270 | |
(541) 228-3272 |
Full Name | Prohealth Family Medicine |
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Speciality | Family Medicine |
Location | 1410 Oak St, Eugene, Oregon |
Authorized Official Name and Position | Justin Montoya (OWNER) |
Authorized Official Contact | 5412283270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prohealth Family Medicine 1410 Oak St Suite 102 Eugene OR 97401-4604 Ph: (541) 228-3270 | Prohealth Family Medicine 1410 Oak St Suite 102 Eugene OR 97401-4604 Ph: (541) 228-3270 |
NPI Number | 1255604690 |
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Provider Enumeration Date | 02/15/2012 |
Last Update Date | 02/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255604690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD23786 (Oregon) | Primary |
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