Grace Good Health, Pc | |
442 Nw 4th St Suite 101 Corvallis OR 97330-6491 | |
(541) 602-0260 | |
(541) 758-1058 |
Full Name | Grace Good Health, Pc |
---|---|
Speciality | Family Medicine |
Location | 442 Nw 4th St, Corvallis, Oregon |
Authorized Official Name and Position | Gael A Wheeler (DOCTOR) |
Authorized Official Contact | 5417585047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grace Good Health, Pc Po Box 547 Corvallis OR 97339-0547 Ph: (541) 758-5047 | Grace Good Health, Pc 442 Nw 4th St Suite 101 Corvallis OR 97330-6491 Ph: (541) 602-0260 |
NPI Number | 1386947612 |
---|---|
Provider Enumeration Date | 12/08/2010 |
Last Update Date | 08/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386947612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO028694 (Oregon) | Primary |
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