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1700 Geary St Se Suite 300a Albany OR 97322-6842 | |
(541) 812-5300 | |
(541) 812-5615 |
Full Name | |
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Speciality | Family Medicine |
Location | 1700 Geary St Se, Albany, Oregon |
Authorized Official Name and Position | David G. Triebes (CEO) |
Authorized Official Contact | 5418124102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1188 Corvallis OR 97339-1188 Ph: (541) 812-5300 | 1700 Geary St Se Suite 300a Albany OR 97322-6842 Ph: (541) 812-5300 |
NPI Number | 1558776047 |
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Provider Enumeration Date | 06/24/2014 |
Last Update Date | 06/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558776047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Oregon) | Primary |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 Lyon St Se, Albany, OR 97321 Phone: 877-522-1275 Fax: 833-888-7145 | |