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Pendleton Family Practice And Sports Medicine Llc
Primary Care Clinic/Center in Pendleton, Oregon
NPI 1225538796

Pendleton Family Practice And Sports Medicine Llc is a Primary Care Clinic/Center based in Pendleton, OR and is specialized in Primary Care. Pendleton Family Practice And Sports Medicine Llc practices in Pendleton, OR. The NPI Number for Pendleton Family Practice And Sports Medicine Llc is 1225538796 and holds a License No. DO20295 (Oregon).

The current practice location address for Pendleton Family Practice And Sports Medicine Llc is 202 Se Dorion Ave, Pendleton, OR and can be reached out via phone at 541-966-8384 and via fax at 541-966-8387.

Location: 202 Se Dorion Ave, Pendleton, OR, 97801-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225538796
Provider Name
Pendleton Family Practice And Sports Medicine Llc
Credential
Provider Entity Type
Organization
Address
202 Se Dorion Ave, Pendleton, OR, 97801-2576
Phone Number
541-966-8384
Fax Number
541-966-8387
Provider Enumeration Date
02/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150117 05 OR
institution
Provider Business Practice Location Address Details
Address
202 Se Dorion Ave
City
Pendleton
State
Oregon
Zip
97801-2576
Phone Number
541-966-8384
Fax Number
541-966-8387
person
Provider Business Mailing Address Details
Address
202 Se Dorion Ave
City
Pendleton
State
Oregon
Zip
97801-2576
Phone Number
541-966-8384
Fax Number
541-966-8387
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
DO20295 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
DO20295 (Oregon)
Definition
Definition to come...
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