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NPI Code Detail

MEDICARE: PHYSICIANS MEDICAL CENTER P C

MEDICARE: PHYSICIANS MEDICAL CENTER P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326097122
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS MEDICAL CENTER P C
Provider Business Mailing Address
First Line : 2435 NE CUMULUS AVE STE A
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8862
Country : US
Telephone Number : 503-472-6161
Fax Number : 503-434-6290
Provider Business Practice Location Address
First Line : 2435 NE CUMULUS AVE STE A
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-8862
Country : US
Telephone Number : 503-472-6161
Fax Number : 503-434-6290
Authorized Official
Title or Position : CREDENTIALING
Name : KATHY J CRAIG
Credential :
Telephone Number : 503-758-4135
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/12/2022

Similar Medicare Providers

1457356198 — DR. STEPHEN B. INKELES M.D.
Practice Location Address:
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR
97128-8862
Practice Phone: 503-472-6161
Practice Fax: 503-434-6290
1710982459 — DR. MARCELLA M ANDERSON M.D.
Practice Location Address:
2435 NE CUMULUS AVE STE A
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97128-8862
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1356346092 — DR. KENNETH G SCHMIDT M.D.
Practice Location Address:
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR
97128-8862
Practice Phone: 503-472-6161
Practice Fax: 503-434-6290
1205823986 — DR. MARY C HARBOR MD
Practice Location Address:
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR
97128-8862
Practice Phone: 503-472-6161
Practice Fax: 503-434-8486
1811946791 — PAUL J HADDELAND M.D.
Practice Location Address:
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR
97128-8862
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Practice Fax: 503-434-6290
1053364562 — BRENT HEIMULLER M.D.
Practice Location Address:
2435 NE CUMULUS AVE STE A
MCMINNVILLE, OR
97128-8862
Practice Phone: 503-472-6161
Practice Fax: 503-434-6290

Directions to “PHYSICIANS MEDICAL CENTER P C ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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