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2615 Willetta St Sw Suite C1 Albany OR 97321-3404 | |
(541) 812-5793 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2615 Willetta St 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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2615 Willetta St Sw Suite C1 Albany OR 97321-3404 Ph: (541) 812-5793 | 2615 Willetta St Sw Suite C1 Albany OR 97321-3404 Ph: (541) 812-5793 |
NPI Number | 1295001832 |
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Provider Enumeration Date | 03/28/2012 |
Last Update Date | 03/28/2012 |
Identifier | Type | State | Issuer |
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1295001832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family 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 |