Oak Grove Family Medical Clinic P C - Medicare Primary Care in Milwaukie, OR

Oak Grove Family Medical Clinic P C is a medicare enrolled primary clinic (Family Medicine) in Milwaukie, Oregon. The current practice location for Oak Grove Family Medical Clinic P C is 2250 Se Oak Grove Blvd #b, Milwaukie, Oregon. For appointments, you can reach them via phone at (503) 654-6567. The mailing address for Oak Grove Family Medical Clinic P C is 2250 Se Oak Grove Blvd, Suite B, Milwaukie, Oregon and phone number is (503) 654-6567.

Oak Grove Family Medical Clinic P C is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346218369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 654-6567.

Contact Information

Oak Grove Family Medical Clinic P C
2250 Se Oak Grove Blvd #b
Milwaukie
OR 97267-2670
(503) 654-6567
(503) 653-2582

Primary Care Clinic Profile

Full NameOak Grove Family Medical Clinic P C
SpecialityFamily Medicine
Location2250 Se Oak Grove Blvd #b, Milwaukie, Oregon
Authorized Official Name and PositionDiana L Mikkelsen (OFFICE MANAGER)
Authorized Official Contact5036531860
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Grove Family Medical Clinic P C
2250 Se Oak Grove Blvd
Suite B
Milwaukie
OR 97267-2670

Ph: (503) 654-6567
Oak Grove Family Medical Clinic P C
2250 Se Oak Grove Blvd #b
Milwaukie
OR 97267-2670

Ph: (503) 654-6567

NPI Details:

NPI Number1346218369
Provider Enumeration Date03/08/2006
Last Update Date06/01/2015

Medicare PECOS Information:

Medicare PECOS PAC ID8729067442
Medicare Enrollment IDO20040722000300

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Medical Identifiers

Medical identifiers for Oak Grove Family Medical Clinic P C such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346218369NPI-NPPES
A001OtherORCHAMPUS
CF9670OtherORRAILROAD MEDICARE
067039000OtherORBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oak Grove Family Medical Clinic P C acts as a billing entity for following providers:
Provider NameRoberta W Ruggeri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396735254
PECOS PAC ID: 7911071899
Enrollment ID: I20110105000706

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Provider NameLaura D Works
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730111485
PECOS PAC ID: 5193728657
Enrollment ID: I20150116001209

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