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142 E. Dearborn Union OR 97883-0986 | |
(541) 562-2222 | |
(541) 562-2224 |
Full Name | |
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Speciality | Clinic/Center |
Location | 142 E. Dearborn, Union, Oregon |
Authorized Official Name and Position | Adina Ferguson (OFFICE MANAGER/ DIRECTOR) |
Authorized Official Contact | 5415622222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 993 Union OR 97883-0993 Ph: (541) 562-2222 | 142 E. Dearborn Union OR 97883-0986 Ph: (541) 562-2222 |
NPI Number | 1790914117 |
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Provider Enumeration Date | 07/07/2009 |
Last Update Date | 10/17/2022 |
Medicare PECOS PAC ID | 5496896896 |
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Medicare Enrollment ID | O20100325000975 |
Identifier | Type | State | Issuer |
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1790914117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Oregon) | Secondary |
261QR1300X | Clinic/center - Rural Health | 383830 (Oregon) | Primary |