| Bryce Willardson, Llc | |
|
83960 Spring Hill Ln Pleasant Hill OR 97455-9728 | |
| (801) 824-4334 | |
| Not Available |
| Full Name | Bryce Willardson, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 83960 Spring Hill Ln, Pleasant Hill, Oregon |
| Authorized Official Name and Position | Julie Willardson (OWNER) |
| Authorized Official Contact | 8018244334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Willardson, Llc 83960 Spring Hill Ln Pleasant Hill OR 97455-9728 Ph: (801) 824-4334 | Bryce Willardson, Llc 83960 Spring Hill Ln Pleasant Hill OR 97455-9728 Ph: (801) 824-4334 |
| NPI Number | 1912485574 |
|---|---|
| Provider Enumeration Date | 08/04/2018 |
| Last Update Date | 08/04/2018 |
| Medicare PECOS PAC ID | 2264782614 |
|---|---|
| Medicare Enrollment ID | O20180905001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912485574 | NPI | - | NPPES |
| 5006740 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 201404741 (Oregon) | Primary |
| Provider Name | Julie Bryce Willardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760088 PECOS PAC ID: 7012901465 Enrollment ID: I20140818002649 |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35859 Highway 58, Pleasant Hill, OR 97455 Phone: 541-345-8760 Fax: 541-345-8763 | |
Pleasant Hill Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35859 Hwy 58, Pleasant Hill, OR 97455 Phone: 541-988-7300 Fax: 541-988-7320 |