| |
1003 Providence Dr Suite 325 Newberg OR 97132-7521 | |
(503) 962-1000 | |
(503) 216-0950 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1003 Providence Dr, Newberg, Oregon |
Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 3158 Portland OR 97208-3158 Ph: () - | 1003 Providence Dr Suite 325 Newberg OR 97132-7521 Ph: (503) 962-1000 |
NPI Number | 1023335403 |
---|---|
Provider Enumeration Date | 04/26/2010 |
Last Update Date | 10/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023335403 | NPI | - | NPPES |
500622001 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2251 E Hancock St Ste 106, Newberg, OR 97132 Phone: 971-281-3050 Fax: 971-281-3051 | |
Matthew Frey, L.ac., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 E 1st St, Newberg, OR 97132 Phone: 503-538-7338 Fax: 503-538-7339 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2251 E Hancock St, Newberg, OR 97132 Phone: 971-281-3000 Fax: 503-537-0141 |