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1510 Division St Suite 200 Oregon City OR 97045-1599 | |
(503) 650-6880 | |
(503) 650-6888 |
Full Name | |
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Speciality | Clinic/center |
Location | 1510 Division St, Oregon City, Oregon |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB S) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | 1510 Division St Suite 200 Oregon City OR 97045-1599 Ph: (503) 650-6880 |
NPI Number | 1891026647 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 04/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891026647 | NPI | - | NPPES |
500619146 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Oregon City Family Practice Clinic,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 John Adams St, Oregon City, OR 97045 Phone: 503-656-1484 Fax: 503-650-1976 | |
24 On Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Samuel Sabo Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18171 Waldow Rd, Oregon City, OR 97045 Phone: 503-655-6044 Fax: 503-575-9171 | |