St. Charles Family Care - Redmond | |
211 Nw Larch Ave Redmond OR 97756-1357 | |
(541) 548-2164 | |
(541) 548-0534 |
Full Name | St. Charles Family Care - Redmond |
---|---|
Speciality | Family Medicine |
Location | 211 Nw Larch Ave, Redmond, Oregon |
Authorized Official Name and Position | Karen M Shepard (SR VP FINANCE / CFO) |
Authorized Official Contact | 5417067707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Charles Family Care - Redmond Po Box 1420 Redmond OR 97756-0400 Ph: (541) 526-6556 | St. Charles Family Care - Redmond 211 Nw Larch Ave Redmond OR 97756-1357 Ph: (541) 548-2164 |
NPI Number | 1255635785 |
---|---|
Provider Enumeration Date | 12/23/2010 |
Last Update Date | 12/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255635785 | NPI | - | NPPES |
500625168 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 7 days ago
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