Full Name | |
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Speciality | Family Medicine |
Location | 675 N 5th St, Lebanon, Oregon |
Authorized Official Name and Position | Joseph M. Cahill (CEO) |
Authorized Official Contact | 5414517914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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675 N 5th St Lebanon OR 97355-2875 Ph: (541) 451-6282 | 675 N 5th St Lebanon OR 97355 Ph: (541) 451-6282 |
NPI Number | 1831247105 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 11/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831247105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |