| Western Skies Wellness Center, Llc | |
|
1807 Cove Ave La Grande OR 97850-3516 | |
| (541) 663-9008 | |
| (541) 624-5454 |
| Full Name | Western Skies Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1807 Cove Ave, La Grande, Oregon |
| Authorized Official Name and Position | Leon Ross Aylett (NURSE PRACTITIONER) |
| Authorized Official Contact | 5416639008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Skies Wellness Center, Llc 1807 Cove Ave La Grande OR 97850-3516 Ph: (541) 663-9008 | Western Skies Wellness Center, Llc 1807 Cove Ave La Grande OR 97850-3516 Ph: (541) 663-9008 |
| NPI Number | 1124754155 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3971972563 |
|---|---|
| Medicare Enrollment ID | O20221202000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124754155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Leon R Aylett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467917187 PECOS PAC ID: 6204206832 Enrollment ID: I20230126003309 |
John Schaefer Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
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Eou Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3524 Fax: 541-962-3825 | |
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