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1086 7th Ave Sw Ste 101 Albany OR 97321-1954 | |
(541) 812-5530 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1086 7th Ave Sw Ste 101, Albany, Oregon |
Authorized Official Name and Position | Daniel Keteri (CEO-SAGH) |
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 1189 Corvallis OR 97339-1189 Ph: (541) 768-4410 | 1086 7th Ave Sw Ste 101 Albany OR 97321-1954 Ph: (541) 812-5530 |
NPI Number | 1306679816 |
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Provider Enumeration Date | 08/21/2024 |
Last Update Date | 08/21/2024 |
Identifier | Type | State | Issuer |
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1306679816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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 | |