| Bayshore Family Medicine | |
|
38505 Brooten Rd. Suite A Pacific City OR 97135 | |
| (503) 965-6555 | |
| (503) 965-6800 |
| Full Name | Bayshore Family Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38505 Brooten Rd., Pacific City, Oregon |
| Authorized Official Name and Position | M Sydney Thompson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5039656555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Family Medicine Po Box 655 Pacific City OR 97135-0655 Ph: (503) 965-6555 | Bayshore Family Medicine 38505 Brooten Rd. Suite A Pacific City OR 97135 Ph: (503) 965-6555 |
| NPI Number | 1871591016 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871591016 | NPI | - | NPPES |
| 129788 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 383828 (Oregon) | Primary |
Adventist Health Bayshore Medical Pacific City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38505 Brooten Rd, Pacific City, OR 97135 Phone: 503-965-6555 |