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5234 Sw Philomath Blvd Corvallis OR 97333-1042 | |
(541) 757-2585 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5234 Sw Philomath Blvd, Corvallis, Oregon |
Authorized Official Name and Position | Becky Pape (COO) |
Authorized Official Contact | 5417685009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5234 Sw Philomath Blvd Corvallis OR 97333-1042 Ph: (541) 757-2585 | 5234 Sw Philomath Blvd Corvallis OR 97333-1042 Ph: (541) 757-2585 |
NPI Number | 1376809475 |
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Provider Enumeration Date | 04/03/2012 |
Last Update Date | 01/30/2015 |
Identifier | Type | State | Issuer |
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1376809475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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