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1003 Providence Dr Suite 310 Newberg OR 97132-7524 | |
(503) 537-6040 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1003 Providence Dr, Newberg, Oregon |
Authorized Official Name and Position | Donald W Anderson (DIR REIMB REG STRAT/ASST SEC ENROLL) |
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 | 1003 Providence Dr Suite 310 Newberg OR 97132-7524 Ph: (503) 537-6040 |
NPI Number | 1598904393 |
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Provider Enumeration Date | 02/18/2009 |
Last Update Date | 10/02/2020 |
Identifier | Type | State | Issuer |
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1598904393 | NPI | - | NPPES |
500605162 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 |