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1219 Sw 4th Ave Suite 2 Ontario OR 97914-4566 | |
(541) 889-2229 | |
(541) 889-0716 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1219 Sw 4th Ave, Ontario, Oregon |
Authorized Official Name and Position | Robert A Mairs (OWNER) |
Authorized Official Contact | 5418892229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1219 Sw 4th Ave Suite 2 Ontario OR 97914-4566 Ph: (541) 889-2229 | 1219 Sw 4th Ave Suite 2 Ontario OR 97914-4566 Ph: (541) 889-2229 |
NPI Number | 1891112967 |
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Provider Enumeration Date | 03/26/2014 |
Last Update Date | 03/26/2014 |
Identifier | Type | State | Issuer |
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1891112967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Peavey Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 541-889-2229 | |
Annette Louise Koski Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Se Goodfellow St, Ontario, OR 97914 Phone: 541-889-6288 | |
Vernon E Barton Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Sw 3rd Ave, Ontario, OR 97914 Phone: 541-889-0771 Fax: 541-889-8788 | |
Clapperton Np-c Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-7781 |