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100 Mullins Drive Suite B1 Lebanon OR 97355 | |
(541) 768-5810 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Infectious Disease |
Location | 100 Mullins Drive, Lebanon, Oregon |
Authorized Official Name and Position | Becky Pape (CEO) |
Authorized Official Contact | 5414517107 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Mullins Drive Suite B1 Lebanon OR 97355 Ph: (541) 768-5810 | 100 Mullins Drive Suite B1 Lebanon OR 97355 Ph: (541) 768-5810 |
NPI Number | 1578812277 |
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Provider Enumeration Date | 09/10/2012 |
Last Update Date | 09/10/2012 |
Identifier | Type | State | Issuer |
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1578812277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |