Richard C. Boughn, Md Pc | |
613 N 1st Ave Stayton OR 97383-1704 | |
(503) 769-7771 | |
(503) 769-4630 |
Full Name | Richard C. Boughn, Md Pc |
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Speciality | Family Medicine |
Location | 613 N 1st Ave, Stayton, Oregon |
Authorized Official Name and Position | Ric Hard C Boughn (PRESIDENT) |
Authorized Official Contact | 5037697771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richard C. Boughn, Md Pc 613 N 1st Ave Stayton OR 97383-1704 Ph: (503) 769-7771 | Richard C. Boughn, Md Pc 613 N 1st Ave Stayton OR 97383-1704 Ph: (503) 769-7771 |
NPI Number | 1699086074 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 05/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699086074 | NPI | - | NPPES |
072678 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Guesly Dessieux, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 100, Stayton, OR 97383 Phone: 503-769-6386 | |
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