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348 S Pine St Carlton OR 97111-1228 | |
(503) 648-8210 | |
(503) 648-8283 |
Full Name | |
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Speciality | Family Medicine |
Location | 348 S Pine St, Carlton, Oregon |
Authorized Official Name and Position | Sara Miller (PRACTICE MANAGER) |
Authorized Official Contact | 5036488210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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434 S 1st Ave Ste 300 Hillsboro OR 97123-3957 Ph: (503) 648-8210 | 348 S Pine St Carlton OR 97111-1228 Ph: (503) 648-8210 |
NPI Number | 1043577869 |
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Provider Enumeration Date | 04/18/2012 |
Last Update Date | 04/18/2012 |
Identifier | Type | State | Issuer |
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1043577869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |