| Pure Healthcare Of Oregon Llc | |
|
920 Country Club Rd Ste 230b Eugene OR 97401-6024 | |
| (855) 550-3358 | |
| Not Available |
| Full Name | Pure Healthcare Of Oregon Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Country Club Rd Ste 230b, Eugene, Oregon |
| Authorized Official Name and Position | Joshua Tandy (DIRECTOR) |
| Authorized Official Contact | 8017870731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Healthcare Of Oregon Llc 4179 S Riverboat Rd Ste 220 Taylorsville UT 84123-2986 Ph: (855) 550-3358 | Pure Healthcare Of Oregon Llc 920 Country Club Rd Ste 230b Eugene OR 97401-6024 Ph: (855) 550-3358 |
| NPI Number | 1821760299 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 5294127726 |
|---|---|
| Medicare Enrollment ID | O20220622002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821760299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | April Noelle Mcbratney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780230284 PECOS PAC ID: 3577996073 Enrollment ID: I20191213000026 |
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