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1086 7th Ave Sw Suite 101 Albany OR 97321-1997 | |
(541) 812-3349 | |
(541) 812-3342 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1086 7th Ave Sw, Albany, Oregon |
Authorized Official Name and Position | David 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 Albany OR 97321-1188 Ph: (541) 812-4000 | 1086 7th Ave Sw Suite 101 Albany OR 97321-1997 Ph: (541) 812-3349 |
NPI Number | 1508130717 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 01/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508130717 | NPI | - | NPPES |
500651439 | Medicaid | OR | |
R0000ZGBCT | Other | OR | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal 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 | |