Wild Rose Medical Clinic Pc in Eugene - Family Medicine
Wild Rose Medical Clinic Pc - NPI 1083762637
Wild Rose Medical Clinic Pc is a Family Medicine in Eugene, Oregon. Wild Rose Medical Clinic Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wild Rose Medical Clinic Pc is 1083762637. The last update date is 2007-10-10.
Wild Rose Medical Clinic Pc's current location address is 401 E 10th Ave, Eugene, Oregon. You can contact this provider via phone number 5416864153 and fax number 5416863468. The mailing address for Wild Rose Medical Clinic Pc is 401 E 10th Ave, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Wild Rose Medical Clinic Pc |
---|---|
Address | 401 E 10th Ave, Eugene, Oregon |
Phone Number | 5416864153 |
Fax Number | 5416863468 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Cordes Kathleen |
Credentials | MD |
Telephone Number | 5416864153 |
NPI Number Detail
NPI Number | 1083762637 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
Address | 401 E 10th Ave |
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City | Eugene |
State | Oregon (OR) |
Post Code | 974013317 |
Phone Number | 5416864153 |
Fax Number | 5416863468 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 16009 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
72173 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wild Rose Medical Clinic Pc by the Centers for Medicare & Medicaid Services?
The Wild Rose Medical Clinic Pc has been assigned the NPI (National Provider Identifier) 1083762637 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Wild Rose Medical Clinic Pc's facilities are situated?
The facilities of Wild Rose Medical Clinic Pc are physically located at the following address: 401 E 10Th Ave, Eugene, OR, 974013317.
What is Wild Rose Medical Clinic Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wild Rose Medical Clinic Pc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did Wild Rose Medical Clinic Pc receive its 1083762637 assignment from the Centers for Medicare & Medicaid Services?
The Wild Rose Medical Clinic Pc was assigned its 1083762637 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wild Rose Medical Clinic Pc last refreshed?
The information related to the Wild Rose Medical Clinic Pc, including its address, specialty, and other relevant details, was last updated on 2007-10-10.
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