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Green Mountain Medical Clinic Pc
Primary Care Clinic/Center in Oakridge, Oregon
NPI 1912188715

Green Mountain Medical Clinic Pc is a Primary Care Clinic/Center based in Oakridge, OR and is specialized in Primary Care. Green Mountain Medical Clinic Pc practices in Oakridge, OR. The NPI Number for Green Mountain Medical Clinic Pc is 1912188715 and holds a License No. DO10127 (Oregon).

The current practice location address for Green Mountain Medical Clinic Pc is 48260 Hills St, Oakridge, OR and can be reached out via phone at 541-782-4201 and via fax at 541-782-4203.

Location: 48260 Hills St, Oakridge, OR, 97463-9409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912188715
Provider Name
Green Mountain Medical Clinic Pc
Credential
Provider Entity Type
Organization
Address
48260 Hills St, Oakridge, OR, 97463-9409
Phone Number
541-782-4201
Fax Number
541-782-4203
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231498 05 OR
institution
Provider Business Practice Location Address Details
Address
48260 Hills St
City
Oakridge
State
Oregon
Zip
97463-9409
Phone Number
541-782-4201
Fax Number
541-782-4203
person
Provider Business Mailing Address Details
Address
48260 Hills St
City
Oakridge
State
Oregon
Zip
97463-9409
Phone Number
541-782-4201
Fax Number
541-782-4203
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
DO10127 (Oregon)
Definition
Definition to come...
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