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87983 Territorial Rd Veneta OR 97487 | |
(541) 935-2200 | |
(541) 935-6241 |
Full Name | |
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Speciality | Family Medicine |
Location | 87983 Territorial Rd, Veneta, Oregon |
Authorized Official Name and Position | Megan M Henneman (BILLING CLERK) |
Authorized Official Contact | 5419352200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 145 Veneta OR 97487 Ph: (541) 935-2200 | 87983 Territorial Rd Veneta OR 97487 Ph: (541) 935-2200 |
NPI Number | 1518990621 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 08/01/2016 |
Identifier | Type | State | Issuer |
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1518990621 | NPI | - | NPPES |
054077 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 87983 Territorial Rd, Veneta, OR 97487 Phone: 541-935-6922 Fax: 541-747-9870 |