Pendleton Family Practice And Sports Medicine Llc | |
202 Se Dorion Ave Pendleton OR 97801-2576 | |
(541) 966-8384 | |
(541) 966-8387 |
Full Name | Pendleton Family Practice And Sports Medicine Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 202 Se Dorion Ave, Pendleton, Oregon |
Authorized Official Name and Position | Darla Linker (OFFICE MANAGER) |
Authorized Official Contact | 5419668384 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pendleton Family Practice And Sports Medicine Llc 202 Se Dorion Ave Pendleton OR 97801-2576 Ph: (541) 966-8384 | Pendleton Family Practice And Sports Medicine Llc 202 Se Dorion Ave Pendleton OR 97801-2576 Ph: (541) 966-8384 |
NPI Number | 1225538796 |
---|---|
Provider Enumeration Date | 02/20/2018 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225538796 | NPI | - | NPPES |
150117 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | DO20295 (Oregon) | Secondary |
261QP2300X | Clinic/center - Primary Care | DO20295 (Oregon) | Primary |
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