| Westernu Patient Care | |
|
200 Mullins Dr Lebanon OR 97355-3983 | |
| (541) 259-0200 | |
| Not Available |
| Full Name | Westernu Patient Care |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 200 Mullins Dr, Lebanon, Oregon |
| Authorized Official Name and Position | Kevin Shaw (CFO/TREASURER) |
| Authorized Official Contact | 9094695401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westernu Patient Care 795 E 2nd St Suite 5 Pomona CA 91766-2007 Ph: (909) 865-2565 | Westernu Patient Care 200 Mullins Dr Lebanon OR 97355-3983 Ph: (541) 259-0200 |
| NPI Number | 1639555170 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639555170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 38807996 (Oregon) | Primary |
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