| |
1100 7th Ave Sw Albany OR 97321-1925 | |
(541) 812-5600 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1100 7th Ave Sw, Albany, Oregon |
Authorized Official Name and Position | Becky Pape (CEO) |
Authorized Official Contact | 5417685009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1100 7th Ave Sw Albany OR 97321-1925 Ph: (541) 812-5600 | 1100 7th Ave Sw Albany OR 97321-1925 Ph: (541) 812-5600 |
NPI Number | 1063779205 |
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Provider Enumeration Date | 04/12/2012 |
Last Update Date | 11/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063779205 | NPI | - | NPPES |
500651542 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |