West Linn Primary Care, P.c | |
18670 Willamette Dr Suite 101 West Linn OR 97068-1796 | |
(503) 636-1133 | |
(503) 636-1331 |
Full Name | West Linn Primary Care, P.c |
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Speciality | Clinic/Center |
Location | 18670 Willamette Dr, West Linn, Oregon |
Authorized Official Name and Position | Huey J Meeker (PRESIDENT) |
Authorized Official Contact | 5036361133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Linn Primary Care, P.c 18670 Willamette Dr Suite 101 West Linn OR 97068-1796 Ph: (503) 636-1133 | West Linn Primary Care, P.c 18670 Willamette Dr Suite 101 West Linn OR 97068-1796 Ph: (503) 636-1133 |
NPI Number | 1124396429 |
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Provider Enumeration Date | 12/01/2011 |
Last Update Date | 12/08/2011 |
Medicare PECOS PAC ID | 6002081304 |
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Medicare Enrollment ID | O20111215000390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124396429 | NPI | - | NPPES |
063016 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Huey J Meeker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437242997 PECOS PAC ID: 0648378422 Enrollment ID: I20070601000065 |
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