institution
Pam Ebert Od Llc
Clinic/Center in Springfield, Oregon
NPI 1750650131

Pam Ebert Od Llc is a Clinic/Center based in Springfield, OR. Pam Ebert Od Llc practices in Springfield, OR. The NPI Number for Pam Ebert Od Llc is 1750650131 and holds a License No. 3484AT (Oregon).

The current practice location address for Pam Ebert Od Llc is 1871 2Nd St, Springfield, OR and can be reached out via phone at 541-741-0122.

Location: 1871 2Nd St, Springfield, OR, 97477-2121
institution
Provider Profile Details
NPI Number
1750650131
Provider Name
Pam Ebert Od Llc
Credential
Provider Entity Type
Organization
Address
1871 2Nd St, Springfield, OR, 97477-2121
Phone Number
541-741-0122
Fax Number
Provider Enumeration Date
12/14/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
R174133 01 OR PTAN
institution
Provider Business Practice Location Address Details
Address
1871 2Nd St
City
State
Zip
97477-2121
Phone Number
541-741-0122
Fax Number
person
Provider Business Mailing Address Details
Address
1871 2Nd St
City
State
Zip
97477-2121
Phone Number
541-741-0122
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
3484AT (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).
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