| Bryan R Conklin Md Pc | |
|
2011 Fourth Street La Grande OR 97850-1200 | |
| (541) 963-4139 | |
| (541) 963-4412 |
| Full Name | Bryan R Conklin Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2011 Fourth Street, La Grande, Oregon |
| Authorized Official Name and Position | Bryan R Conklin (PRESIDENT) |
| Authorized Official Contact | 5419634139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Conklin Md Pc 2011 Fourth Street La Grande OR 97850-1200 Ph: (541) 963-4139 | Bryan R Conklin Md Pc 2011 Fourth Street La Grande OR 97850-1200 Ph: (541) 963-4139 |
| NPI Number | 1659558591 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659558591 | NPI | - | NPPES |
| 228792 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23049 (Oregon) | Primary |
John Schaefer Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10303 S Walton Rd, La Grande, OR 97850 Phone: 541-962-7845 Fax: 541-975-5225 | |
Western Skies Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1807 Cove Ave, La Grande, OR 97850 Phone: 541-663-9008 Fax: 541-624-5454 | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-963-3138 Fax: 541-963-5918 | |
Kim R. Montee, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Praxis Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2011 Fourth St., La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-429-6612 | |
Grande Ronde Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 |