| |
399 Young St Woodburn OR 97071-4817 | |
(503) 981-5265 | |
(503) 987-3736 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 399 Young St, Woodburn, Oregon |
Authorized Official Name and Position | Enrique Sama (VP, HUMAN RESOURCES) |
Authorized Official Contact | 5039637791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769 | 399 Young St Woodburn OR 97071-4817 Ph: (503) 981-5265 |
NPI Number | 1396822763 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396822763 | NPI | - | NPPES |
226398 | Medicaid | OR | |
223347 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Woodburn Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Progress Way, Woodburn, OR 97071 Phone: 503-981-5348 Fax: 503-467-5588 | |
Silverton Hospital Imediate Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Mount Hood Ave, Woodburn, OR 97071 Phone: 971-983-5360 Fax: 971-983-5370 | |
Beardall Acupuncture And Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 N Pacific Hwy, Woodburn, OR 97071 Phone: 503-982-6925 |