Full Name | |
---|---|
Speciality | Clinic/center |
Location | 230 Rowe Street, Wheeler, 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 |
---|---|
Po Box 3158 Portland OR 97208-3158 Ph: () - | 230 Rowe Street Wheeler OR 97147 Ph: (503) 368-5182 |
NPI Number | 1316251036 |
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Provider Enumeration Date | 08/05/2010 |
Last Update Date | 11/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316251036 | NPI | - | NPPES |
500628322 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Rinehart Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 Rowe Rd, Wheeler, OR 97147 Phone: 503-368-5182 | |