Willamette Internal Medicine, Pc | |
6029 Sw Grand Oaks Dr Corvallis OR 97333-3957 | |
(541) 740-3341 | |
Not Available |
Full Name | Willamette Internal Medicine, Pc |
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Speciality | Internal Medicine |
Location | 6029 Sw Grand Oaks Dr, Corvallis, Oregon |
Authorized Official Name and Position | Karen Griffis (CO-OWNER) |
Authorized Official Contact | 5417403341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willamette Internal Medicine, Pc 6029 Sw Grand Oaks Dr Corvallis OR 97333-3957 Ph: (541) 740-3341 | Willamette Internal Medicine, Pc 6029 Sw Grand Oaks Dr Corvallis OR 97333-3957 Ph: (541) 740-3341 |
NPI Number | 1073548582 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073548582 | NPI | - | NPPES |
269638 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OR17598 (Oregon) | Primary |
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