| Chehalem Medical Clinic | |
|
308 Villa Rd Ste 114 Newberg OR 97132-1881 | |
| (503) 538-9431 | |
| (503) 538-2358 |
| Full Name | Chehalem Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 308 Villa Rd Ste 114, Newberg, Oregon |
| Authorized Official Name and Position | William Merrill Bailey (OWNER) |
| Authorized Official Contact | 5035389431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chehalem Medical Clinic 308 Villa Rd Ste 114 Newberg OR 97132-1881 Ph: (503) 538-9431 | Chehalem Medical Clinic 308 Villa Rd Ste 114 Newberg OR 97132-1881 Ph: (503) 538-9431 |
| NPI Number | 1053395392 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053395392 | NPI | - | NPPES |
| 091220000 | Other | OR | BLUE CROSS |
| 230524 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD14622 (Oregon) | Primary |
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