| |
1175 Mount Hood Ave Woodburn OR 97071-0066 | |
(503) 982-2000 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1175 Mount Hood Ave, Woodburn, Oregon |
Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
Authorized Official Contact | 5098656175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 190 Toppenish WA 98948-0190 Ph: (503) 982-2000 | 1175 Mount Hood Ave Woodburn OR 97071-0066 Ph: (503) 982-2000 |
NPI Number | 1568591766 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 11/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568591766 | NPI | - | NPPES |
022793 | Medicaid | OR | |
011427000 | Other | OR | REGENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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