Salveo Family Medicine Pc | |
410 E Ellendale Ave Ste 2 Dallas OR 97338-3052 | |
(503) 623-8151 | |
(503) 623-8185 |
Full Name | Salveo Family Medicine Pc |
---|---|
Speciality | Family Medicine |
Location | 410 E Ellendale Ave Ste 2, Dallas, Oregon |
Authorized Official Name and Position | Gina P Remington (OWNER) |
Authorized Official Contact | 5036238151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Salveo Family Medicine Pc 201 Se Washington St Suite C Dallas OR 97338-2860 Ph: (503) 623-8151 | Salveo Family Medicine Pc 410 E Ellendale Ave Ste 2 Dallas OR 97338-3052 Ph: (503) 623-8151 |
NPI Number | 1548379522 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3375544240 |
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Medicare Enrollment ID | O20070119000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548379522 | NPI | - | NPPES |
271140 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD25243 (Oregon) | Primary |
Provider Name | Gina P Remington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639110166 PECOS PAC ID: 0345229878 Enrollment ID: I20041007000432 |
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